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University of South Florida · College of Behavioral & Community Sciences · Mental Health Law & Policy


Key Personnel:
David A. Chiriboga
Marion Becker
Lisa Brown, Sharon Anderson
Donna Cohen, Larry Dupree
Amber Gum, Margaret Kane
Yuri Jang, William Kearns
Glenn Mitchell II
Victor Molinari
Larry Schonfeld
Mary Ann Watson

The Florida Alzheimer's Disease Medicaid Waiver Program: An Evaluation of Alzheimer's Beneficiaries Prior to Program Initiation

Publication Date: 6/1/2005

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Alzheimer's disease affl icts over 4.5 million persons in the United States, and almost half a million Floridians. In response to the social, medical and fi scal challenges posed by the disease, Florida has initiated a new waiver program, the Florida Medicaid Alzheimer's Home and Community-Based Waiver Program. Th e four counties that comprise the site of the waiver program are those that historically have demonstrated the highest number of deaths due to Alzheimer's disease: Dade, Palm Beach, Broward and Pinellas.

As a means of establishing the characteristics of Medicaid benefi ciaries with Alzheimer's disease during a time prior to the implementation of the new waiver program, two sets of investigations were conducted. Th e fi rst looked at some general questions about the socio-demographic and health characteristics of benefi ciaries with Alzheimer's disease, their patterns of service utilization and associated costs, and variations by racial/ethnic group membership. Th e second investigation looked specifi cally at medications used by benefi ciaries with Alzheimer's disease and other dementias, and was based on a slightly diff erent sampling approach.