Case Management Standards in State Community-Based Long-Term Care Programs for Older Persons with Disabilities

摘要

Over the past two decades, State governments have established community-based long-term care programs that provide services to older persons with disabilities who live in their own homes. Various proposals for Federal long-term care reform incorporate many features of community-based programs currently operating in the States. Case management is a key component of many Federal proposals and most State-financed delivery systems. Case management agencies perform important functions in community care programs. They provide objective advice on care needs and help consumers gain access to services delivered through multiple providers. They also ensure that service funds are allocated to individuals most in need of care, and that the total cost of such care does not exceed State program budget ceilings. Since case management is an integral part of Federal long-term care proposals as well as State-financed programs, the Congressional Research Service (CRS) contracted with the National Association of State Units on Aging (NASUA) to conduct an analysis of State standards governing selected aspects of case management. These included the process of case management, minimum staffing requirements, and oversight of case management agencies. Case management standards of 72 State community care programs in 46 States were analyzed.