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Office of Program Policy Analysis and Government Accountability

Follow-up Report on the Comprehensive Assessment and Review for Long Term Care Services (CARES) Program Administered by the Department of Elder Affairs, Report No. 97-01, July 1997
 
Full report in PDF format


  • ┬áThe Department of Elder Affairs (DOEA) and the Legislature have addressed all of the issues we raised in our prior report.
  • CARES staff have recently developed an improved performance measure to show their impact in diverting clients from nursing homes to less expensive community placements.
  • Legislative actions since 1995 have affected the CARES Program. Located now in DOEA, the Program is better coordinated with community outreach efforts, other long-term care programs, and training needs. Increased staffing support allows staff to verify that Medicaid recipients in nursing homes continue to require that level of care. Staff also now conduct in-person assessments on almost all clients. In a pilot project in two counties, staff meet with hospital discharge planners to assess clients earlier than was formerly the case.
  • These changes have the cumulative effect of allowing CARES staff to assess more clients, assess many of them more thoroughly, and assess many of them earlier in the process. These actions improve the chances of clients being placed in lower-cost community settings.

What were our earlier findings?

Report No. 94-33 Performance Audit of the Comprehensive Assessment and Review for Long Term Care Services (CARES) Program, published in February 1995.

Which Government Program Summaries contain related information?

Volunteer and Community Initiatives
Medicaid Aged and Disabled Adult Waiver
Vocational Rehabilitation
Adult Protective Services
Home and Community-Based Services Program
Department of Elder Affairs
Nursing Home Pre-Admission Screening (CARES)

What other OPPAGA-related materials are available?

  • Report No. 99-51 Progress Report: Other Initiatives to Decrease Long-Term Care Costs Should Accompany Medicaid Waiver Expansion, published in May 2000.
  • Report No. 97-74  Supplemental Analyses of the Pilot Project Authorizing Direct Admission to Extended Congregate Care, published in June 1998.
  • Report No. 97-26 Review of the Pilot Project Authorizing Direct Admission to Extended Congregate Care, published in December 1997.
  • Report No. 96-26 Second Status Report on the Pilot Project Authorizing Direct Admission to Extended Congregate Care, published in December 1996.
  • Report No. 95-19 Status Report on the Pilot Project Authorizing Direct Admission to Extended Congregate Care, published in December 1995.

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).
e-mail address: oppaga@oppaga.fl.gov


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