Functional Assessment Processes for Medicaid Personal Care Services


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…

Download the publication for all visuals and complete references.

Continue Reading

This policy brief provides an introduction to The SCAN Foundation’s CLASS Technical Assistance Brief Series, which explores many of the critical issues to be considered for successfully implementing CLASS.

This policy brief describes the broad needs of individuals with disability and the wide range of supportive and environmental solutions that can allow for the most independent living possible. It suggests how findings on social and environmental supports for individuals with disability can inform implementation of CLASS.

This policy brief provides background on the historical development of benefit eligibility triggers in the private long-term care insurance market. Understanding how these triggers came into being can provide important information to those charged with implementing the CLASS Plan.