Elements of a Functional Assessment for Medicaid Personal Care Services


This policy brief identifies the elements states use for an assessment of a person’s physical and cognitive limitations and need, and compares these elements to the requirements of the CLASS Plan.

Date Updated: 04/06/2011

State Medicaid programs provide long-term services and supports for eligible individuals who have been assessed and determined to be in need of these services. Medicaid beneficiaries must meet financial as well as medical/functional eligibility criteria. Included in the array of long-term services and supports are personal care services, which provide assistance to individuals with their activities of daily living (ADLs), such as bathing, eating, and dressing, as well as assistance with their instrumental activities of daily living (IADLs) such as shopping, preparing meals, and housecleaning…

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