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Over the past decade and a half, a series of demonstrations prior to the National Long-Term Care Channeling Demonstration have been fielded to test some form of case managed, community-based long-term care. Fourteen community care demonstrations funded through Federal Government waivers and similar to Channeling were identified. This report presen
In this article, the authors compare and contrast alternative approaches to administering programs, financed under the Medicaid personal care services (PCS) optional benefit, that make attendant services available to low-income elderly and disabled persons in need of help with daily living tasks. The analyses address the following issues: (1) By h
Approximately 800 HIV-infected children nationally were in foster care placement as of June 1989. This study was designed to define the specific problems related to providing foster care to children with HIV infection. A major element of the project was to conduct site visits to areas with a high incidence of AIDS in children and to learn how orga
This report contains six main sections. The first focuses on hospice coverage policies and reviews the history of the Medicare hospice benefit, its current structure, and its influence on care of the dying. Also included is a description of hospice care covered by other insurers including state Medicaid programs and private employers. The second s
This report presents findings on the characteristics and employment barriers of families receiving TANF benefits in South Carolina's Family Independence (FI) Program. The study included in-depth telephone interviews with 1,120 case heads of families receiving TANF benefits in South Carolina during June 2002, in a research design stratified to incl
As states seek to improve supportive services, policymakers need to know whether consumer-directed programs deliver quality care that which satisfies consumers' preferences and does not harm their health. The need for evidence grows daily, as states respond to federal Systems Change grants and other initiatives spurred by the Supreme Court's 1
This report analyzes qualitative data to examine factors influencing changes in the health care systems for immigrants in these four cities, including immigrant eligibility changes under federal welfare reform, immigration enforcement issues, and language and cultural differences. [35 PDF pages]
The Office of the Assistant Secretary for Planning and Evaluation sponsored an expert meeting to advise DALTCP on policy issues and available data related to several populations of persons with disabilities: working age adults, children, persons age 65 and older, and special populations (e.g., persons with developmental disabilities, persons with
The Office of the Assistant Secretary for Planning and Evaluation sponsored an expert meeting on research related to personal assistance services (PAS). This day long meeting was the first of three expert meetings on disability topic areas that DALTCP is considering for inclusion in its research agenda.
Data are presented to defend the theory that families use the kind of care which is available to them and affordable. Survey of Income and Program Participation (SIPP) data on marital status, other adults in the home, hours the mother works, age of mother, region and city size (indicators of the availability of other care providers), in addition t
U.S. Department of Health and Human Services
Post-Acute Care Issues for Medicare: Interviews with Provider and Consumer Groups, and Researchers and Policy Analysts
Widespread interest in Medicare post-acute care issues, particularly after the Balanced Budget Act (BBA) passed, prompted DALTCP to sponsor an "early indication" qualitative study of the potential effects of the BBA provisions and other related issues. To obtain timely information on such issues, this study collected information through interviews