Analysis of the California In-Home Supportive Services (IHSS) Plus Waiver Demonstration Program. Appendix B. Recipient and Other Predictor Variables, Detailed Tables

07/01/2008

TABLE B-1: Race/Ethnicity of IHSS Recipients, 2005
  Age of IHSS Recipients
3-17 18-64 65+ Total
n % n % n % n %
All Recipients 2005   16,257     100.0     152,591     100.0     233,856     100.0     402,704     100.0  
White 4,580 28.2 65,400 42.9 90,562 38.7 160,542 39.9
Hispanic 7,220 44.4 32,887 21.6 55,327 23.7 95,434 23.7
Black 2,875 17.7 39,260 25.7 25,156 10.8 67,291 16.7
Otder Asian or Pacific Islander   182 1.1 1,691 1.1 3,180 1.4 5,053 1.3
Am Indian or Alaskan Native 91 0.6 1,337 0.9 870 0.4 2,298 0.6
Filipino 245 1.5 1,803 1.2 12,734 5.4 14,782 3.7
Chinese 241 1.5 1,995 1.3 23,331 10.0 25,567 6.3
Cambodian 142 0.9 1,456 1.0 2,459 1.1 4,057 1.0
Japanese 12 0.1 141 0.1 329 0.1 482 0.1
Korean 62 0.4 590 0.4 4,334 1.9 4,986 1.2
Samoan 25 0.2 291 0.2 319 0.1 635 0.2
Asian Indian 84 0.5 471 0.3 1,766 0.8 2,321 0.6
Hawaiian 13 0.1 44 0.0 42 0.0 99 0.0
Guamanian 5 0.0 53 0.0 44 0.0 102 0.0
Laotian 132 0.8 2,120 1.4 3,146 1.3 5,398 1.3
Vietnamese 348 2.1 3,052 2.0 10,257 4.4 13,657 3.4
Recipients Continuing from 2004   13505   126118   198523   338146  
White 3783 28.0 54032 42.8 78927 39.8 136742 40.4
Hispanic 6087 45.1 27241 21.6 45888 23.1 79216 23.4
Black 2366 17.5 32342 25.6 21961 11.1 56669 16.8
Otder Asian or Pacific Islander 143 1.1 1372 1.1 2578 1.3 4093 1.2
Am Indian or Alaskan Native 74 0.5 1075 0.8 721 0.4 1870 0.6
Filipino 196 1.4 1450 1.1 10002 5.0 11648 3.4
Chinese 180 1.3 1652 0.3 19380 9.8 21212 6.3
Cambodian 130 1.0 1219 1.0 2190 1.1 3539 1.0
Japanese 11 0.1 118 0.1 250 0.1 379 0.1
Korean 47 0.03 470 0.4 3474 1.7 3991 1.2
Samoan 20 0.01 218 0.2 258 0.1 496 0.1
Asian Indian 65 0.05 368 0.3 1431 0.7 1864 0.6
Hawaiian 10 0.1 38 0.03 31 0.02 79 0.02
Guamanian 4 0.03 41 0.03 38 0.02 83 0.02
Laotian 112 0.8 1831 0.5 2820 1.4 4763 1.4
Vietnamese 277 2.1 2651 2.1 8574 4.3 11502 3.4
Recipients Entering in 2005 2752   26473   35333   64558  
White 797 29.0 11368 42.9 11635 32.9 23800 36.9
Hispanic 1133 41.2 5646 21.3 9439 26.7 16218 25.1
Black 509 18.5 6918 26.1 3195 9.0 10622 16.5
Otder Asian or Pacific Islander 39 1.4 319 1.2 602 1.7 960 1.5
Am Indian or Alaskan Native 17 0.6 262 1.0 149 0.4 428 1.7
Filipino 49 1.8 353 1.3 2732 7.7 3134 4.9
Chinese 61 2.2 343 1.3 3951 11.2 4355 6.7
Cambodian 12 0.4 237 0.9 269 0.8 518 0.8
Japanese 1 0.04 23 0.09 79 0.2 103 0.2
Korean 15 0.5 120 0.5 860 2.4 995 1.5
Samoan 5 0.2 73 0.3 61 0.2 139 0.2
Asian Indian 19 0.7 103 0.4 335 0.9 457 0.7
Hawaiian 3 0.1 6 0.02 11 0.03 20 0.03
Guamanian 1 0.04 12 0.04 6 0.02 19 0.03
Laotian 20 0.7 289 1.1 326 0.9 635 1.0
Vietnamese 71 2.6 401 1.5 1683 4.8 2155 3.3

 

TABLE B-2: Functional Limitations of IHSS Recipients, 2005
  Age of IHSS Recipients
3-17 18-64 65+ Total
n % n % n % n %
  1. Number of tasks cannot perform memory, orientation, or judgment tasks without human assistance.
  2. Number of tasks cannot perform assistance in activities of daily living (i.e., bathing and grooming; dressing; transferring; bowel, bladder and menstrual care; eating) without human assistance.
  3. Number of tasks cannot perform instrumental activities of daily living (i.e., housework, laundry, shopping and errands, meal preparation and clean-up, mobility inside) without human assistance.
  4. Cannot breathe without human assistance.
Functional Areas     16,257     100.0     152,591     100.0     233,856     100.0     402,704     100.0  
Cognitive Limitationsa
  0 12,346 75.9 141,114 92.5 227,051 97.1 380,511 94.5
  1 914 5.6 2,580 1.7 1,682 0.7 5,176 1.3
  2 501 3.1 1,685 1.1 1,022 0.4 3,208 0.8
  3 2,496 15.4 7,212 4.7 4,101 1.8 13,809 3.4
ADL Limitationsb
  0 545 3.4 23,539 15.4 26,619 11.4 50,703 12.6
  1 805 5.0 21,862 14.3 35,331 15.1 57,998 14.4
  2 1,732 10.7 29,866 19.6 44,513 19.0 76,111 18.9
  3 3,962 24.4 27,676 18.1 41,947 17.9 73,585 18.3
  4 4,567 28.1 31,760 20.8 57,932 24.8 94,259 23.4
  5 4,646 28.6 17,888 11.7 27,514 11.8 50,048 12.4
IADL Limitationsc
  0 2,571 15.8 215 0.1 83 0.0 2,869 0.7
  1 1,826 11.2 581 0.4 508 0.2 2,915 0.7
  2 678 4.2 1,338 0.9 1,209 0.5 3,225 0.8
  3 730 4.5 5,072 3.3 5,676 2.4 11,478 2.9
  4 6,716 41.3 89,577 58.7 115,673 49.5 211,966 52.6
  5 3,736 23.0 55,808 36.6 110,707 47.3 170,251 42.3
Breathingd 2,352 14.5 10,623 7.0 14,219 6.1 27,194 6.8

 

TABLE B-3: Vendor Claims Counts Fee for Service and Managed Care Recipients, 2005
Vendor Group Descriptions Total
  # Recipients   % # MC %
  1. Includes AIDS waiver, MSSP, and Home Care waivers.
  2. Includes nurse midwife (n=32 FFS and 2 MC clients), and genetic testing (n=153 FFS and 47 MC clients).
  3. Includes nurse practitioners, physicians, physician groups, rural clinics, surgi-centers.
  4. Includes county and community hospital outpatient departments, and other organized outpatient clinics.
  5. Includes psychologist/social worker outpatient services, and inpatient mental health.
  6. Includes acupuncturist, chiropractor, podiatrist, prosthetist, breast cancer detection center, EPSDT supplemental services, hemodialysis/renal centers, respirator care practitioner, hospice services, nurse anesthetist.
  7. Also includes hospital and freestanding rehabilitation facilities.
  8. Includes optical labs, optometric groups, optometrists, optician, audiologist, hearing aid dispenser.
  9. Includes clinical labs, portable x-ray lab, blood bank, local health education.
Community-Based Care
Adult Day Health Care 31,418 7.9% 2,018 3.8%
IHSS (State Plan Personal Care) 366,625   92.5%     48,982     91.3%  
Medicaid Home Care Waiversa 13,638 3.4% 2,100 3.9%
Home Health Agency 7,088 1.8% 398 0.7%
Inpatient Services
Hospital (County & Community hospitals)   100,127 25.3% 4,496 8.4%
Nursing Homes (and ICF-DDs) 18,585 4.7% 776 1.4%
Medical Care/Physician Services
Birthing Servicesb 183 0.0% 49 0.1%
Physician Offices/Clinicsc 300,203 75.8% 17,182 32.0%
Outpatient Departments/Clinicsd 193,697 48.9% 6,946 12.9%
Mental Health Servicese 951 0.2% 62 0.1%
Other Providers
Ancillary Providersf 65,436 16.5% 1,847 3.4%
Physical/Occupational/Speech Therapyg   10,627 2.7% 1,463 2.7%
Vision/Hearing Servicesh 114,187 28.8% 10,201 19.0%
Other Servicesi 79,108 20.0% 5,081 9.5%
Durable Medical Equipment 112,749 28.5% 4,151 7.7%
Medical Transportation 56,244 14.2% 1,685 3.1%
Total 394,987   53,571  

 

TABLE B-4: County Per Capita Income, 2003
County Per Capita
  Income/1000  
Population
  IHSS Recipients  
by County
County Per Capita
  Income/1000  
Population
  IHSS Recipients  
by County
SOURCE: Table D-9, US Department of Commerce, Bureau of Economic Analysis, http://www.bea.doc.gov
ALAMEDA 38.618 14,508 ORANGE 36.647 13,702
ALPINE 24.946 15 PLACER 35.847 1,498
AMADOR 23.570 214 PLUMAS 26.597 371
BUTTE 22.818 3,389 RIVERSIDE 25.691 14,629
CALAVERAS 23.537 313 SACRAMENTO 29.548 18,342
COLUSA 21.668 226 SAN BENITO 23.484 352
CONTRA COSTA   41.992 7,208 SAN BERNARDINO   22.141 18,801
DEL NORTE 17.676 367 SAN DIEGO 33.883 22,977
EL DORADO 33.477 679 SAN FRANCISCO 55.819 18,468
FRESNO 21.938 12,640 SAN JOAQUIN 23.155 6,784
GLENN 18.031 453 SAN LUIS OBISPO 27.917 1,695
HUMBOLDT 23.909 2,116 SAN MATEO 57.906 2,667
IMPERIAL 18.171 5,117 SANTA BARBARA 33.739 2.824
INYO 26.084 137 SANTA CLARA 51.579 12,395
KERN 21.021 5,647 SANTA CRUZ 36.865 2,005
KINGS 16.717 1,619 SHASTA 25.175 2,932
LAKE 23.538 1,974 SIERRA 24.681 34
LASSEN 18.122 287 SISKIYOU 22.640 553
LOS ANGELES 30.611 167,927 SOLANO 26.830 2,886
MADERA 18.392 1,615 SONOMA 34.671 4,319
MARIN 63.083 1,484 STANISLAUS 22.677 5,701
MARIPOSA 22.903 270 SUTTER 24.075 712
MENDOCINO 25.947 1,549 TEHAMA 19.868 1,263
MERCED 18.461 3,112 TRINITY 21.223 192
MODOC 21.275 163 TULARE 20.166 2,787
MONO 24.241 44 TUOLUMNE 23.515 341
MONTEREY 29.901 3,199 VENTURA 32.232 3,408
NAPA 37.086 690 YOLO 27.332 1,506
NEVADA 31.241 799 YUBA 19.236 829

 

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