Structure and Implementation of Comprehensive State Preadmission Screening Programs for Nursing Home Applicants: 1978–1994
- 1 March 2000
- journal article
- Published by Taylor & Francis in Home Health Care Services Quarterly
- Vol. 18 (1) , 61-74
- https://doi.org/10.1300/j027v18n01_04
Abstract
This paper examines the structure and implementation of comprehensive state preadmission screening (PAS) programs for nursing home applicants from 1978 to 1994 in all 50 states and the District of Columbia. A state was considered to have comprehensive PAS if a majority of nursing home applicants were screened in-person by state or contract agency staff. Twenty-six states had implemented these programs by 1994, with the most growth taking place during the 1980s. The primary changes in program structure were an increased reliance on private providers to screen a subset of applicants and a higher percentage of states screening private pay applicants. All programs but one referred or authorized the use of community-based services, while most programs diverted well over 10 percent of nursing home applicants.Keywords
This publication has 7 references indexed in Scilit:
- State Variations and Trends in Preadmission Screening ProgramsJournal of Applied Gerontology, 1996
- Can Medicaid Long-term Care Expenditures for the Elderly Be Reduced?The Gerontologist, 1996
- Long-Term Care Case Management: A Look at Alternative ModelsThe Gerontologist, 1996
- The Administration of Eligibility for Community Long-term CareThe Gerontologist, 1993
- Efficacy of Nursing Home Preadmission ScreeningThe Gerontologist, 1992
- A national long-term care program for the United States. A caring vision. The Working Group on Long-term Care Program Design, Physicians for a National Health ProgramPublished by American Medical Association (AMA) ,1991
- Case Management Agency Systems of Administering Long-Term Care: Evidence from the Channeling DemonstrationThe Gerontologist, 1990