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Facility placement part time or intermittent nursing

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facility placement: part-time or intermittent nursing, home health aide, and medical equipmentand supplies. Although all states require the provision of these particular home health services,federal law does not set the amount of service provided. The optional home care services thatstates may provide to individuals include personal care services, home- and community-basedcare for functionally disabled elders, private-duty nursing, and respiratory therapy. for ventilator-dependent individuals. Both mandatory and optional services offered under the Medicaid stateplan must meet the following federal requirements:a.Services must be uniformly offered throughout the stateb.The recipient must have free choice of providersc.Comparable services must be available to all individualsd.Any limits placed on the amount of services must be sufficient in amount, duration, andscope to achieve the purposes of the Medicaid program.In 2002, the Centers for Medicare and Medicaid Services (CMS) developed the IndependencePlus waiver to promote the use of consumer-directed (CD) care in Medicaid. These waiversencourage person-centered planning, individualized budgeting, and selfdirected services andsupports (Kassner, 2006a). Under this program, persons eligible for services can hire familymembers, friends, or neighbors to provide home care. According to Kassner (2006a), not onlydoes CD HCBS meet consumers' preferences, it also helps address worker shortages, the need forculturally appropriate workers, and the availability of services in rural and other hard-to-reachareas, by expanding the pool of available workers. In 2004, 62 CD care programs serving olderadults were available in 40 states.If states want to provide services without complying with mandated and optional state planrequirements, they may obtain a waiver of one or more of them under certain federal provisions(Rosenzwieg, 1995). OBRA 1981 revised Medicaid's funding to allow states to cover HCBSs forindividuals who would otherwise require institutional care. The Section 2176 waiver programpermits states to provide a comprehensive range of HCBSs to individuals who, but for theprovisions of such services, would be institutionalized. Services that states may cover includecare management, homemaker, home health aide, personal care, adult day care, health care,habilitation, respite care, and other services approved by the state Medicaid agency and CMS ascost-effective. Section 1396 legislation, enacted in 1987, waives the same rules but applies onlyto persons aged 65 and older. As of 1999, all 50 states and the District of Columbia had waiverprograms serving older adults (Harrington, Carrillo, Wellin, Miller, & LeBlanc, 2000).Older Americans ActArea Agencies on Aging have the option of funding home health care services under Title III-B.

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Term
Spring
Professor
GrayGrave
Tags
Geriatrics, Speak, home care services

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