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The Home- and Community-Based Services Waiver Systems, Controls Should Be Improved, Report No. 99-31, February 2000
Full report in PDF format

This report is about the Department of Children and Families' systems and controls to ensure service provision quality in the developmental services Home-and Community-Based Services Medicaid waiver.
  • To improve its responsiveness to changing client needs, the Department of Children and Families is developing initiatives giving clients and their families more control over how to use the money allocated for their services. While many clients may want to participate in these initiatives, many may be unable to do so.
  • The department is monitoring the quality of services provided by service coordinators. However, it has not yet implemented an effective system to monitor the quality of services from other providers.
  • Home and community-based services is a cost-effective alternative to institutional placement, but some clients receive community services when they could be more cost-effectively served in institutions while others receive care in institutions when they could be more cost-effectively served in communities. While Medicaid requirements limit the department’s ability to divert clients from more costly institutional settings to less costly community settings, the department could do more to control institutional costs. Serving clients in the most cost-effective setting could have provided another $21.5 million for additional services to clients.

Which Government Program Summaries contain related information?

Developmental Disabilities

What other OPPAGA-related materials are available?

  • Report No. 03-48 Progress Report: Developmental Disabilities Program Takes Action on Some Recommendations; Still Needs to Address Service Issues to Better Meet Its Client Needs, published in September 2003.
  • Report No. 02-18 Progress Report: Developmental Disabilities Program Takes Steps to Improve Medicaid Waiver Systems and Controls, published in March 2002.
  • Report No. 02-09 Program Review: Legislative Options to Control Rising Developmental Disabilities Costs, published in February 2002.
  • Report No. 00-17 Justification Review: Developmental Disabilities Program Florida Department of Children and Families, published in November 2000.

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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