Functional Assessment Processes for Medicaid Personal Care Services

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This policy brief focuses on components of states’ Medicaid functional assessment processes with an eye toward how these processes could potentially inform the development of regulations for CLASS. We explore how states handle the assessment process and determine who performs the assessment and where it is performed.

Date Updated: 04/06/2011

Each state develops its own unique set of criteria, policies, infrastructure and procedures specific to its Medicaid program, including detailed processes for state plan personal care services and/or home- and community-based waiver programs. Understanding how functional assessments are performed is critical to appropriately determining the need for and level of personal care services (PCS) and home- and community-based services (HCBS) for Medicaid-eligible individuals. Clearer insight into all these facets of a state’s process can potentially inform the development of CLASS regulations…


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