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Office of Program Policy Analysis and Government Accountability

The Nursing Home Diversion Program Has Successfully Delayed Nursing Home Entry, Report No. 06-45, May 2006
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  • The Nursing Home Diversion program has successfully delayed participants’ entry into nursing homes.  Frail elders participating in the Nursing Home Diversion program were more likely to delay entry into a nursing home than similar frail elders who were not enrolled in any Medicaid community-based waiver programs.  Program participants also experienced shorter nursing home stays and were more likely to return to their homes to continue program services.  
  • Although Nursing Home Diversion costs have exceeded the Medicaid Program’s costs for other frail elders, these cost differences have narrowed due to recent rate reductions. When compared to other waiver programs, the Nursing Home Diversion program has higher costs but is more successful in delaying nursing home placements.  Although the state could potentially serve Nursing Home Diversion participants in other programs, doing so could compromise their quality of life and strain the capacity of these other programs. 

Which Government Program Summaries contain related information?

Nursing Home Pre-Admission Screening (CARES)
Department of Elder Affairs
Medicaid Long-Term Care Waivers

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. 09-15 Transition to Aging Resource Centers Complete; Enhancement of Elder Service System Continues,published in March 2009.
  • Report No. 07-12 Several Factors Can Delay Eligibility Determination for Medicaid Long-Term Care, published in February 2007.
  • Report No. 06-10 Service Use for Nursing Home Diversion Waiver Clients Depends on Living Situation, published in February 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.
  • Report No. 01-66 Justification Review: Services to Elders Program, Department of Elder Affairs, published in December 2001.

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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