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Service Use for Nursing Home Diversion Waiver Clients Depends on Living Situation, Report No. 06-10, February 2006
Full report in PDF format

  • The Nursing Home Diversion program uses a managed care delivery system to assist elders who qualify for nursing home placement to remain in the community for as long as possible.  The typical diversion participant in 2004 was a widowed, white, female who was age 85 or older. 
  • The program offers a variety of services such as personal care, homemaker, and meal delivery to help clients living at home.  Long-term residential services in assisted living facilities or nursing homes are provided for clients no longer able to live at home or with a caretaker.  The diversion program also provides medical services such as emergency care, doctor visits, and rehabilitation services. 
  • The most frequently used diversion services in 2004 were case management, prescribed drugs, and assisted living facility services.  The mix of services depended primarily on whether clients lived at home or in a facility.  Service mix also differed based on age and frailty level.  As older and more frail clients were more likely to live in a facility, they were more likely to receive bundled services provided by facilities.  In contrast, the younger and less frail were more likely to receive services in their homes. 

Which Government Program Summaries contain related information?

Department of Elder Affairs
Community Care for the Elderly
Medicaid Long-Term Care Waivers
Medicaid Health Care Services

What other OPPAGA-related materials are available?

  • Report No. 10-33 The State Could Consider Several Options to Maximize Its Use of Funds for Medicaid Home and Community-Based Services,published in March 2010.
  • Report No. 10-23 The Alzheimer’s Disease Waiver Program Does Not Delay Nursing Home Entry More Effectively Than Other Waivers and Costs the State More Per Participant Than Most Waivers That Serve Similar Persons,published in February 2010.
  • Report No. 07-12 Several Factors Can Delay Eligibility Determination for Medicaid Long-Term Care, published in February 2007.
  • Report No. 06-45 The Nursing Home Diversion Program Has Successfully Delayed Nursing Home Entry, published in May 2006.
  • Report No. 03-69 Progress Report: Services to Elders Program Has Improved Accountability and Oversight; Should Reduce Capitation Rate for Long-Term Care Pilot, published in December 2003.

Copies of this report in print or alternate accessible format may be obtained by telephone (850/488-0021), by FAX (850/487-9213), in person, or by mail (OPPAGA Report Production, Claude Pepper Building, Room 312, 111 W. Madison St., Tallahassee, FL 32399-1475).
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