Availability of Medicaid home- and community-based services for older Americans and people with physical disabilities

2018 ◽  
Vol 37 (1) ◽  
pp. 41-59 ◽  
Author(s):  
Marissa R. Meucci ◽  
Noelle K. Kurth ◽  
Theresa I. Shireman ◽  
Jean P. Hall
Keyword(s):  
Physical Disabilities ◽  
Community Based ◽  
Older Americans ◽  
People With Physical Disabilities ◽  
Community Based Services

Screening and Priority-Setting to Determine Home- and Community-Based Aging Services for Older Floridians

2021 ◽  
pp. 073346482110125
Author(s):  
Lawrence Schonfeld ◽  
Jesse Bell ◽  
Mary Goldsworthy ◽  
Kevin Kip ◽  
Amber M. Gum ◽  
...  
Keyword(s):  
Service Delivery ◽  
National Standards ◽  
Third Party ◽  
Community Based ◽  
Older Americans ◽  
Caregiver Support ◽  
Aging Services ◽  
Optimal Health ◽  
Aging Network ◽  
Community Based Services

The National Aging Network serves millions of older Americans seeking home- and community-based services, but places others on waitlists due to limited resources. Little is known about how states determine service delivery and waitlists. We therefore conducted a process evaluation and analyzed data from one five-county Area Agency on Aging in Florida, where an algorithm calculates clients’ priority scores for service delivery. From 23,225 screenings over 5.5 years, clients with higher priority scores were older, married, living with caregivers, and had more health problems and needs for assistance. Approximately 51% received services (e.g., meals/nutrition, case management, caregiver support), 11% were eligible/being enrolled, and 38% remained on waitlists. Service status was complex due to multiple service enrollments and terminations, funding priorities, and transfers to third-party providers. More research is needed regarding how other states determine eligibility and deliver services, potentially informing national standards that promote optimal health in older Americans.

scholarly journals Advancing States Through the OAA Reauthorization

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 725-726
Author(s):  
Damon Terzaghi
Keyword(s):  
Significant Role ◽  
Services Research ◽  
Community Based ◽  
Older Americans ◽  
Community Based Services

Abstract States are major policymakers and funders of community-based services for older Americans and ADvancing States played a significant role in supporting the OAA authorization this year. This presentation will provide the states' perspective regarding funding, services, research and demonstrations, and more.

Unmet Needs for Home and Community-Based Services Among Frail Older Americans and Their Caregivers

2010 ◽  
Vol 23 (3) ◽  
pp. 529-553 ◽  
Author(s):  
Banghwa Lee Casado ◽  
Kimberly S. van Vulpen ◽  
Stacey L. Davis
Keyword(s):  
Unmet Needs ◽  
Community Based ◽  
Older Americans ◽  
Community Based Services

scholarly journals Self-Reported Dental Visits Among Older Adults Receiving Home- and Community-Based Services

2020 ◽  
pp. 073346482092532
Author(s):  
Steffany Chamut ◽  
Shahdokht Boroumand ◽  
Timothy J. Iafolla ◽  
Margo Adesanya ◽  
Elena M. Fazio ◽  
...  
Keyword(s):  
High School ◽  
Older Adults ◽  
Health Knowledge ◽  
Health Indicators ◽  
Cross Sectional Study ◽  
Community Based ◽  
Cross Sectional ◽  
Older Americans ◽  
Older Americans Act ◽  
Community Based Services

Objective: To investigate factors associated with infrequent dental use among older adults receiving home- and community-based services. Method: This cross-sectional study analyzed responses from the 2014 National Survey of Older Americans Act participants who received home- and community-based services. Descriptive and multivariable analyses were conducted to examine the association between infrequent dental use and key sociodemographic and health indicators. Results: Infrequent dental use was highest among adults participating in case management and home-delivered meals (63%); the lowest among those participating in congregate meals (41%). Participants who did not complete high school were 2 to 5 times more likely to be infrequent dental users compared to those with educational attainment beyond high school. Discussion: Among older adults receiving home- and community-based services, improving oral health knowledge and health literacy may reduce infrequent dental use.

scholarly journals Risk of Nursing Home Admission Among Older Americans: Does States' Spending on Home- and Community-Based Services Matter?

2007 ◽  
Vol 62 (3) ◽  
pp. S169-S178 ◽  
Author(s):  
N. Muramatsu ◽  
H. Yin ◽  
R. T. Campbell ◽  
R. L. Hoyem ◽  
M. A. Jacob ◽  
...  
Keyword(s):  
Nursing Home ◽  
Nursing Home Admission ◽  
Community Based ◽  
Older Americans ◽  
Community Based Services

scholarly journals People with physical disabilities in Sri Lanka are in need for the service of community physiotherapists

2021 ◽  
Vol 8 (8) ◽  
pp. 3799
Author(s):  
Vindya Vimani Senadheera ◽  
Kavinda Tharani Malwanage ◽  
Sithravelayuthan Mayooran ◽  
Abdul Majeed Mohomad Rikas ◽  
Agampodi Liyanage Indrajith Prasanna
Keyword(s):  
Health Care ◽  
Sri Lanka ◽  
Physical Disabilities ◽  
Pediatric Population ◽  
Health Care Team ◽  
Rehabilitation Program ◽  
Health Care Practitioner ◽  
Community Based ◽  
Community Based Rehabilitation ◽  
People With Physical Disabilities

Background: Physiotherapists have long been recognized as important providers of services for people with disability. In Sri Lanka the concept of community physiotherapy has not emerged yet. The present study aimed to identify the need for ‘community physiotherapy service’ in Kandy district, Sri Lanka. Methods: A community service projection community based rehabilitation, of three years was conducted by the department of physiotherapy, faculty of allied health sciences, University of Peradeniya, Sri Lanka in 2017-2019 in collaboration with department of social service and social welfare of Kandy district secretariat, Sri Lanka.Results: One hundred and seventy participants with physical disabilities were included in the study 94 (55.29%) were males (mean age; 33.57 (SD ±23.17) and 76 (44.71%) were females (mean age; 33.14 (SD ±24.98). The pediatric population was 41.76% (N=71) followed by 38.82% of adults (N=66) and 19.41% of elderly patients (N=33) of the total population. The highest number of PWD had pediatric conditions (39.41%), followed by musculoskeletal (31.76%), neurological (15.88%), geriatric (8.82%) and cardio-respiratory (4.12%) conditions. The majority (55.88%) of all the people with disabilities who visited the clinics were in need for further physiotherapy consultation and follow up.Conclusions: In Kandy district of Sri Lanka alone, number of people with physical disabilities who are in need of continuous physiotherapy follow ups is high compared to services already available. Conducting a successful community-based rehabilitation program in Sri Lanka as a whole, require having a specialized health care practitioner to the primary health care team; ‘a community physiotherapist’.

Mobile Citizens: Medicaid Home and Community-Based Services Users Desire and Pursue Cross-State Moves

2018 ◽  
Vol 29 (3) ◽  
pp. 142-152 ◽  
Author(s):  
Brian R. Grossman
Keyword(s):  
Social Support ◽  
Research Policy ◽  
Physical Disabilities ◽  
Self Determination ◽  
Structural Barriers ◽  
Policy And Practice ◽  
Community Based ◽  
Advance Research ◽  
Community Based Services

This article provides empirical evidence that Medicaid home and community-based services (HCBS) users with physical disabilities both express desire for, and engage in steps to, move across states, driven primarily by opportunity. These opportunities include employment, schooling, and proximity to social support. Grounded theory techniques were used to explore transcripts from interviews with 18 HCBS users with physical disabilities. Findings are presented as a series of trajectories that connect opportunity with plans for, or action taken to engage in, cross-state moves. The move stories offered by participants illustrate that for Medicaid HCBS users with physical disabilities, opportunity may be dreamed, missed, delayed, or pursued. Stories depicting each of these four opportunity arcs are provided. The article concludes with a discussion of the importance of recognizing the agency of Medicaid HCBS users as they wish to pursue opportunities across states, as well as the structural barriers presented by interstate variation and intrastate confinement. Suggestions are offered to advance research, policy, and practice to honor the dignity and self-determination of Medicaid HCBS users with physical disabilities as they consider opportunities across states.

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