Key Personnel:
David A. Chiriboga, Ph.D.
Lisa M. Brown, Ph.D.
Victor A. Molinari, Ph.D.
Yuri Jang, Ph.D.
William D. Kearns, Ph.D.
Giyeon Kim, Ph.D.
Soyeon Cho, Ph.D.
Jing Guo, M.S
Elizabeth Hahn
Julio Herrera
Sung Han Rhew
Glenn Mitchell II, Ph.D.
Karon Phillips
Florida Medicaid Alzheimer's Home and Community-Based Waiver Program: An Evaluation
Publication Date: 6/1/2009
Description:
Home and community-based services (HCBS) are an area of growth in the United States not only because HCBS is more likely to comply with the wishes of dependent elders but also because it represents a cost-effective solution to the costs of traditional nursing home care. The objective of this technical report is to evaluate services and other activities related to a 1915(b)(4) and a 1915(c) waiver entitled the Medicaid Alzheimer's Home and Community-Based Waiver Program, herewith referred to as the Medicaid Alzheimer's Program (MAP). The MAP utilizes the services of three vendors selected through a competitive bidding process. Serving the counties of Miami-Dade/Broward, Palm Beach and Pinellas, the three successful vendors for the program were each expected to develop a network of service providers to deliver direct services to community-living Medicaid recipients with a diagnosis of Alzheimer's disease (AD) who have a live-in caregiver and are age 60 and over. The authorized 11 services include:
- Case management
- Adult day care
- Respite care
- Wanderer alarm systems
- Wanderer identification and location programs
- Caregiver training
- Behavioral assessment and intervention
- Incontinence supplies
- Personal care assistance
- Environmental modifications
- Pharmacy review
The report is based on administrative data that covers the period from the waiver's inception through June, 2008, with the majority of analyses covering the period from July 1, 2007 through June 30, 2008. It should be emphasized therefore that cost-related calculations were based on data that were compiled a year prior to the completion of the report and does not cover the period during which full MAP recipient enrollment was reached. The use of year-old data was necessitated by a change in the state fiscal agent contracting with AHCA. Additional information from site visits and surveys completed by caregivers to the participating Medicaid recipients was collected in May and June 2009.
