Home Health Care, 1983: Hearing Before the Committee on Labor and Human Resources, United States Senate, Ninety-eighth Congress, First Session, on Examination of Proposed Legislation Aimed at Implementing Community Based Programs Designed to Provide More Adequate Home-care Services for the Elderly, July 13, 1983U.S. Government Printing Office, 1984 - 271 pages |
Common terms and phrases
AARP Administration adult day AFHHA AHCA alternative appropriate assessment beneficiary bill block grant Chairman clients Committee community based services community-based services CONGRESS THE LIBRARY coordination cost cost-effective coverage developmentally disabled elderly and disabled eligible federal funds HCFA home and community home and community-based home care services home health agencies home health benefits home health care home health services homebound homemaker hospital Human Resources Human Services increase individuals institutional intermittent Labor and Human legislation LIBRARY OF CONGRESS limited long term Medicaid program Medicare mentally retarded Morrie Levy National Novick nursing home Older Americans Act optional patient percent physician population proposed recertification reimbursement RENSSELAER COUNTY require result risk of institutionalization Senator Hatch Senator HUMPHREY Senior Companion served skilled nursing facility Social Security Act Susan Baird target term care services Title XIX Vermont visits waiver program Washington WHITESIDE
Popular passages
Page 29 - Section 223 (d) (1) (2) (3) defines disability as the inability to engage in any substantial gainful activity by reason of any medically determinable physical or mental impairment which can be expected to result in death or which has lasted or can be expected to last for a continuous period of not less than 12 months.
Page 35 - Federal funds made available under this title for any fiscal year will be so used as to supplement and, to the extent practical, increase the level of funds that would, in the absence of such Federal funds...
Page 259 - While an individual does not have to be bedridden to be considered 'confined to his home', the condition of the individual should be such that there exists a normal inability to leave home, that leaving home requires a considerable and taxing effort...
Page 264 - Generally speaking, a beneficiary will be considered to be homebound if he has a condition due to an illness or injury which restricts his ability to leave his place of residence except with the aid of supportive devices such as crutches, canes, wheelchairs, and walkers, the use of special transportation, or the assistance of another person or if he has a condition which is such that leaving his home is medically contraindicated.
Page 248 - ... (D) in the case of post-hospital home health services, such services are or were required because the individual is or was confined to his home (except when receiving items and services referred to in section 1861 (m) (7)) and needed skilled nursing care on an intermittent basis, or physical or speech therapy...
Page 29 - Any loss or abnormality of psychological, physiological, or anatomical structure or function. DISABILITY: Any restriction or lack (resulting from an impairment) of ability to perform an activity in the manner or within the range considered normal for a human being.
Page 57 - In fact, most of the long-term care that is provided to the frail and/or dependent elderly population is provided by the family and familial support network. Importantly, recent AARP studies indicate that the majority (68%) of older noninstitutionalized persons lived in a family setting in 1980. Approximately 8.1 million or 83% of older men, and 8 million or 57% of older women, lived in families. The proportion living in a family setting decreases with age. Nearly one-third (7.1 million) of all noninstitutionali...
Page 263 - Although most patients require services no more frequently than several times a week, Medicare will pay for part-time (as defined 'in S 206.6) medically reasonable and necessary skilled nursing care 7 days a week for a short period of time (2-3 weeks). There may also be a few cases involving unusual circumstances where the patient's prognosis indicates the medical need for daily skilled services will extend beyond 3 weeks.
Page 45 - ... but for the provision of such services the individuals would require the level of care provided in a skilled nursing facility or intermediate care facility the cost of which could be reimbursed under the State plan.
Page 61 - ... of total Medicare expenditures are for home health benefits. Under the Medicaid Program, states are required to provide home health services, which are defined as part-time and intermittent services by a certified home health agency. Home health services provided under Medicaid vary a great deal from state to state because the statute permits wide variations in number of allowable visits and comprehensiveness of services. In contrast with Medicare, Medicaid does not require skilled nursing care...