Using Medicaid to Cover Services for Elderly Persons in Residential Care Settings: State Policy Maker and Stakeholder Views in Six States. Nursing Homes


Oregon has a statewide nursing home pre-admission screening process. Individuals who enter a nursing home are approved for varying lengths of stay, depending upon the reason for admission and the likelihood of, and timetable for, improvement, and are reviewed periodically to evaluate their potential for discharge to the community.1 Because the state has a "mature" long term care system that is widely known among community organizations, service providers, referral sources, families and consumers, it has a strong capacity to divert people from nursing homes.2


  1. Nursing Home Relocation Services, begun in 1982, are still an important part of Oregon's long term care system, though the average nursing home resident in 2002 is much more impaired. Because HCBS care coordination staff caseloads are high, some Area Agencies on Aging have created relocation specialist positions. Relocation costs may be paid by exempting resident income generally paid to the nursing home, or through the HCBS waiver program.

  2. Mollica, R.L. and Jenkens, R., State Assisted Living Practices and Options: A Guide for State Policy Makers, Coming Home Program, Robert Wood Johnson Foundation, September 2001.

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