Medicaid Home and Community-Based Services Measure Scan: Project Methodology
Appendix A: Deficit Reduction Act of 2005, Section 6086(b): "Quality of Care Measures"
(1) IN GENERAL—The Secretary, acting through the Director of the Agency for Healthcare Research and Quality, shall consult with consumers, health and social service providers and other professionals knowledgeable about long-term care services and supports to develop program performance indicators, client function indicators, and measures of client satisfaction with respect to home and community-based services offered under State Medicaid programs.
(2) BEST PRACTICES—The Secretary shall:
- Use the indicators and measures developed under paragraph (1) to assess such home and community-based services, the outcomes associated with the receipt of such services (particularly with respect to the health and welfare of the recipient of the services), and the overall system for providing home and community-based services under the Medicaid program under title XIX of the Social Security Act; and
- Make publicly available the best practices identified through such assessment and a comparative analyses of the system features of each State.
(3) APPROPRIATION—Out of any funds in the Treasury not otherwise appropriated, there is appropriated to the Secretary of Health and Human Services, $1,000,000 for the period of fiscal years 2006 through 2010 to carry out this subsection.
Appendix B: List of Medicaid Home and Community-Based Services (HCBS)
Both the type and extent of home and community-based services provided under Medicaid can vary from program to program. Below is a partial list of the broad range of services that have been provided by States under their Medicaid HCBS programs; States may provide additional services.
Adaptive Health and Wellness Services
Adult Companion Services
Adult Day Care
Adult Day Health
Adult Foster Care
Adult Residential Care
Alternative Living/Alternative Care Facility
Assistive Technology Evaluation
Assistive Technology Repairs
Attendant Care—Rent/Food for Unrelated Live-In Caretaker
Behavior Management and Consultation
Case Management Aide
Chore / Home Maintenance
Community Integration Training
Community Transition Services
Consolidated Developmental Services
Consultative Clinical and Therapeutic Services
Crisis Intervention Services/Support
Developmental Day Care
Educational Services Habilitation
Electronic Home Response
Environmental Adaptations/Home Modifications
Financial Counseling and Training
Financial Risk Reduction
Fiscal/Employer Agent/Management Services
Home Accessibility Adaptations
Home-Based Supportive Care
Home Delivered Meals
Home Health Aide|
Home Health Care
Housing Access Coordination
Independent Living Provider
Independent Living Skills Training
Individual Directed Goods and Services
Integrated Therapeutic Network
Life Skills Training
Medical Nutritional Support
Medically-Related Direct Therapies
Mental Health Day Treatment Services
Mental Illness/Day Treatment/Partial Hospitalization
Mental Illness/Psychosocial Rehabilitation
Natural Support Enhancement
Nursing Home Diversion Program
Pediatric Community Transitional Home Services
Periodic Nursing Evaluations
Person Centered Planning
Personal Adjustment Counseling
Personal Care Assistance
Personal Care Coordination
Personal Care—Rent/Food for Unrelated Live-in Caretaker
Personalized Emergency Response Systems
Phone Reassurance Monitoring
Physical Risk Reduction
Physical Therapy—Extended State Plan Services
Prescription Drug Co-Pay
Prevocational Services Habilitation
Private Duty Nursing
Professional Care Assistant
Retainer Payment for Personal Caregivers
Social Reassurance Therapeutic Counseling
Social Work Services
Special Therapeutic Services
Specialized Child Care
Specialized Consultation Services
Specialized Medical Equipment and Supplies
Specialized Psychiatric Services
Speech, Hearing, and Language
Staff/Family Consultation Training
Substance Abuse Treatment/Counseling
Supported Employment Habilitation
Therapeutic Social and Recreational Program
Training and Counseling Services for Unpaid Caregivers
Transitional Case Management
Wandering Alarm System
Extended State Plan Services:
- Home health care services.
- Physical therapy.
- Occupational therapy.
- Speech, hearing, and language services.
- Prescribed drugs, except drugs furnished to participants who are eligible for Medicare Part D benefits.
- Dental services.
- Other services specified by the State.
Appendix C: Database Descriptions
MEDLINE®, produced by the National Library of Medicine (NLM), is one of the major sources for biomedical literature. MEDLINE® indexes international literature in medicine, dentistry, and nursing using NLM's controlled vocabulary, MeSH® (Medical Subject Headings). Around 400,000 records are added yearly, more than 85 percent in English.
CINAHL® covers all fields of nursing as well as 17 allied health disciplines. The comprehensive CINAHL® database includes journals from biomedicine, alternative therapy, health sciences, health promotion, and consumer health.
Health and Psychosocial Instruments (HAPI) provides descriptions of measurement instruments (such as rating scales, index measures, and coding schemes) in public health, communication, human resources, medicine, social sciences, and other fields. Source information is often included.
AgeLine is produced by AARP (formerly known as the American Association of Retired Persons) and provides bibliographic coverage of social gerontology—aging in social, psychological, health-related, and economic contexts—as well as information on health care and its costs, public policy, and other issues relevant to the older population.
PsycFIRST® is a subset of the American Psychological Association's PsychINFO® database. It provides abstracts to a broad range of psychology literature as well as from related fields such as social science, organizational behavior, and research methodology. Articles from 1,300 journals and reports as well as book chapters and dissertations are represented.
Wilson Social Science Abstracts provides comprehensive abstracting and indexing of more than 400 core English-language periodicals published in the United States and elsewhere. Coverage includes a wide range of interdisciplinary fields covered in social science journals.
PSYCLINE indexes more than 2,000 online psychology and social science journals via its Journal Locator feature and provides access to article databases in psychology via its Article Locator feature.
Sage Database of Social Research Methodology (SRM) includes more than 45,000 references to literature on social and behavioral research methodology, statistical analysis, and computer software. The SRM Database includes journal articles, books, research reports, and proceedings from 1970 to the present.
Google® Scholar is a search engine for scholarly literature. It sorts articles by weighing the full text, author, publication in which the article appears, and how often it has been cited in other scholarly literature. Results are listed in order of relevancy. Google® Scholar is a service of Google®, the most widely used search engine.
Grey Literature Report, published by The New York Academy of Medicine Library, alerts readers to new grey literature publications in health services research and selected public health topics, adding and indexing resources in an Online Catalog.
Appendix D: Technical Expert Panel and Other Invited Meeting Participants—January 29, 2007
Technical Expert Panel
Bob Applebaum, Scripps Gerontology Center, Miami University of Ohio
Roger Auerbach, Independent Consultant
Peter Boling, Virginia Commonwealth University
Julie Brown, RAND Corporation
Julie Fralich, Muskie Institute, University of Southern Maine
Howard Goldman, University of Maryland
Henry Ireys, Mathematica Policy Research
Alan Jette, Boston University
Diane Justice, National Association of State Units on Aging
Bob Kafka, ADAPT
Judy Kaspera, Johns Hopkins University
Enid Kassner, AARP
Peter Kowalski, ANCOR/John F. Murphy Homes
Charlie Lakina, University of Minnesota
Jill Morrow, Pennsylvania Office of Mental Retardation
Chas Moseley, National Association of State Directors of Developmental Disabilities Services
Chris Murtaugh, Visiting Nurse Services of New York
Sue Palsbo, George Mason University
Martha Roherty, National Association of State Medicaid Directors
Shoshanna Sofaer, Baruch College
Steve Staugaitis, University of Massachusetts
Sue Swenson, The Arc
Sam Waldrep, South Carolina Department of Health and Human Services
Agency for Healthcare Research and Quality
Administration on Aging
Centers for Medicare & Medicaid Services
Office of the Assistant Secretary for Planning and Evaluation