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Office of Program Policy Analysis and Government Accountability

Progress Report: Other Initiatives to Decrease Long-Term Care Costs Should Accompany Medicaid Waiver Expansion, Report No. 99-51, May 2000
 
Full report in PDF format


  • The Legislature has increased funding for the Assisted Living for the Elderly Medicaid Waiver annually since Fiscal Year 1997-98. The Medicaid waiver pays for additional services, including extended congregate care (ECC) services, for eligible low-income residents in assisted living facilities.  However, this expansion has not been done in conjunction with some of the other alternatives for reducing the cost of long-term care, such as placing additional limits on the growth of nursing home beds and tightening Medicaid's eligibility criteria for nursing home admission.
  • The Department of Elder Affairs and the Agency for Health Care Administration have increased public education activities and have streamlined some ECC regulations.  However, ECC facilities still are inspected more frequently than nursing homes.

What were our earlier findings?

Report No. 97-26 Review of the Pilot Project Authorizing Direct Admission to Extended Congregate Care, published in December 1997.

Which Government Program Summaries contain related information?

Medicaid Aged and Disabled Adult Waiver
Volunteer and Community Initiatives
Department of Elder Affairs
Home and Community-Based Services Program

What other OPPAGA-related materials are available?

  • Report No. 01-66 Justification Review: Services to Elders Program, Department of Elder Affairs, published in December 2001.
  • Report No. 01-08 Justification Review: DCF’s Adult Services Program Meeting Goals; Data Reliability, Case Management Need Work, published in February 2001.
  • Report No. 01-04 Program Review: High-Risk Elder Victims of Abuse, Neglect, or Exploitation Quickly Served; Data Problems Remain, published in  January 2001.
  • Report No. 98-83 Progress Report: Elder Affairs Takes Steps to Separate Case Management from Other Services, published in June 1999.
  • Report No. 98-81 Progress Report: DOEA Should Study the Pros and Cons of Changing Planning and Service Areas, published in June 1999.
  • Report No. 98-29 Preliminary Report Referrals and Service Provision for Elder Victims of Abuse, Neglect, or Exploitation, published in December 1998.
  • Report No. 97-74  Supplemental Analyses of the Pilot Project Authorizing Direct Admission to Extended Congregate Care, published in June 1998.
  • Report No. 97-01 Follow-up Report on the Comprehensive Assessment and Review for Long Term Care Services (CARES) Program Administered by the Department of Elder Affairs, published in July 1997.
  • Report No. 96-87 Reconfiguring the Planning and Service Areas Covered by Florida's Area Agencies on Aging, published in June 1997.
  • Report No. 96-80 The Role of Area Agencies on Aging in Providing Case Management Services to Florida's Elders, published in April 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.
  • Report No. 94-33 Performance Audit of the Comprehensive Assessment and Review for Long Term Care Services (CARES) Program, published in February 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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