State long-term care screening and assessment programs.
Long-term care screening and assessment programs were designed by states to control long-term care costs and to prevent unnecessary institutionalization of Medicaid participants. This study reports data collected by telephone survey of state officials in all 50 states and Washington, D.C. on state variation in LTC screening and assessment programs. The majority of the state screening and assessment programs cover an array of LTC services but this has resulted in multiple separate screening programs for different long-term care services and eligibility groups. Only three states coordinated screening and assessment across long-term care programs by operating a single state administrative agency, using uniform need criteria and standard tools, and having automated databases (Arizona, Colorado, and Maine). The design and implementation of multiple and separate screening and assessment programs in most states may create potential barriers to client access, information about services and choice of services.
Tonner
M C
MC
University of California, San Francisco, 3333 California Street, Room 455, Campus Mail Box 0612, San Francisco, CA 94118, USA.
LeBlanc
A J
AJ
Harrington
C
C
D000203:Activities of Daily Living / Q000145:classification; D000368:Aged; D002648:Child; D003955:Diagnostic Tests, Routine / Q000706:statistics & numerical data*; D004185:Disability Evaluation; D004608:Eligibility Determination; D005568:Forms and Records Control; D015577:Geriatric Assessment / Q000706:statistics & numerical data; D019538:Health Care Surveys; D006699:Home Care Services / Q000600:supply & distribution; D006801:Humans; D007407:Interviews as Topic; D008134:Long-Term Care / Q000145:classification / Q000458:organization & administration* / Q000706:statistics & numerical data; D008403:Mass Screening / Q000458:organization & administration / Q000706:statistics & numerical data*; D008484:Medicaid / Q000458:organization & administration*; D010344:Patient Advocacy; D010548:Personal Health Services / Q000600:supply & distribution; D012112:Residential Facilities / Q000145:classification / Q000600:supply & distribution; D013221:State Health Plans / Q000458:organization & administration* / Q000706:statistics & numerical data; D014481:United States