A functioning profile of Medicaid Waiver participants in Michigan: does the program admit the high functioning?
Michigan's home and community-based Medicaid Waiver program (MIChoice) has been criticized for enrolling people who are relatively high functioning. This study examined the physical and cognitive function of a 2000-2001 cohort of MIChoice enrollees and found that about 10% can be considered high functioning, 32% medium functioning, and 58% low functioning. Much of the controversy over MIChoice can be traced to contradictions inherent in the payment system and the fundamental premise that drives the program.
D000203:Activities of Daily Living; D003071:Cognition; D015331:Cohort Studies; D004608:Eligibility Determination; D006699:Home Care Services / Q000191:economics*; D006801:Humans; D008484:Medicaid / Q000191:economics*; D008824:Michigan