A Report on the Actuarial, Marketing, and Legal Analyses of the CLASS Program. Part 3: Options for Measuring Concepts in the CLASS Program Benefit Triggers That Are Important for People with Cognitive Impairment

10/14/2011

Many different assessment instruments could be used to measure the concepts in the CLASS Program benefit triggers that are most important for people with cognitive impairment. The CLASS Program legislation says that the eligibility determinations based on the benefit triggers will be made by “a licensed health care practitioner.” Procedures for determining eligibility for CLASS Program services and supports have not yet been developed, and it is unclear whether there will eventually be a single organization that conducts eligibility determinations or, more likely, many organizations and individuals that determine eligibility, as is the case with most existing long-term care insurance plans. In this context, this contractor believes that no specific assessment instruments or procedures should be required to determine eligibility for CLASS Program services and supports. On the other hand, it is important to provide information about such instruments and their use to anyone who is responsible for implementing the CLASS Program benefit trigger. Some organizations and individuals may choose to use certain instruments. Equally important, awareness of the content of the instruments could help such organizations and individuals better understand and implement the intent and meaning of the concepts in the benefit triggers.

This section lists assessment instruments that measure concepts in CLASS Program benefit triggers that are most important for people with cognitive impairment. Further analysis of these instruments will be needed, but the objective of the analysis will differ depending on the decision that is made about whether specific assessment instruments and procedures will be required to determine eligibility for CLASS Program services and supports.

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