Glossary Fiscal Year 2000 - Aging and Adult Services
AASA serves frail elderly persons, as well as functionally disabled people
over 17 years of age. AASA provides assistance with activities of daily living
such as housework, shopping, and money management as well as with life functions
such as self-care, eating, and medication management. Components of the
long-term care system include:
Community services provided through AASA field service offices.
Community services provided through Area Agencies on Aging.
Nursing home quality assurance, regulation, and funding.
Caregiver Training and Continuing
Education for Individual Providers
Audit Settlements and Recoupments
OASI Refunds
In-Home Services: These include both
Chore and Personal Care services delivered in the client's home. Chore
is state-funded and provides in-home personal care services to non-Medicaid
eligible, low-income, disabled or very frail adults who still live in
their own homes. This group includes all contracted agency and individual
provider services as well as provider meal reimbursements and travel
costs. Personal Care employs individuals and contracted agencies
to assist low-income disabled or frail adults with the activities of
daily living, allowing clients to remain in their own homes. Included
are Title XIX funded Personal Care services and transportation for Medicaid-eligible
clients as well as Community Options Program Entry System (COPES) funded
in-home Personal Care reimbursements. In addition to Personal Care,
COPES pays for the following ancillary services: Environmental Modification
(necessary physical adaptations to the client's home), installation
of Personal Emergency Response System equipment, Adult Day Care/Day
Health, Transportation, Meals on Wheels, Medical Equipment, and Over-Night
Support.
Assisted Living (AL): Services provided
in licensed boarding facilities for adults requiring assistance with
self-care tasks but otherwise can remain in a community residential
setting. Facilities allow for a private living unit and a private bathroom.
Services are available 24 hours a day and include limited nursing care,
assistance with activities of daily living, limited supervision, and
housekeeping. Clients pay a participation fee (nonexempt income above
the Medically Needy Income Level) and AASA pays the remainder.
Adult Family Homes (AFH): Small group
care settings supply room, board, and laundry services for as many as
six adults who cannot live alone, but do not need 24-hour skilled nursing
supervision. AFH Personal Care assists residents with the activities
of daily living. AFH residents are not related to the provider. AFHs
are either COPES, State-only, or Title XIX funded. Services include
Medicaid Personal Care, state-funded Personal Care, and AFH-Aids Special
Care Services
Adult Residential Care (ARC) Facilities:
Licensed boarding facilities for disabled adults offer 24-hour
supervision of, and help with, the following: planning medical care,
taking medications, and the handling of financial matters when necessary.
ARC services also include a Personal Care element assisting residents
with the activities of daily living. ARC residence is either COPES,
State-only, or Title XIX funded.
Nursing Homes: In these residential
facilities, staff perform an array of services for disabled persons
who require daily nursing care as well as with medication, eating, dressi/ms/rdang,
walking, or other personal needs.
Adult Protective Services (APS): APS staff
investigates reports of neglect, abuse, exploitation or abandonment
of dependent adults. Services provided to clients include; but are not
limited to; counseling, assessment, arrangement of alternative living
situations, assistance in accessi/ms/rdang community resources, and/or arrangement
and provision of appropriate services.
Note: CSDB client counts for APS during Fiscal Year 00 are underestimated
due to AASA's shift to a new reporting system in May 2000.
Some services are small and unlike the others. Programs may choose to include
these only in the program total, rather than with dissimilar services. Client
counts and expenditures for the following services appear in the program total
only:
Nursing Home Discharge Allowance
Foster Grandparents: AASA pays a small amount of money to
elderly participants for their work in the community or in schools for
mentally retarded.
Private Duty Nursing: AASA funds special, 24-hour intensive
nursing services, generally for younger clients with traumatic brain
injuries.
Adult Day Health Services
Changes from the Needs Assessment Data Base (NADB) produced for Fiscal Year 94:
Case Management and Comprehensive Assessments were reported in
NADB for Fiscal Year 94 but are no longer reported in CSDB for Fiscal Year 99.
Assisted Living was included in the program total only in NADB
for Fiscal Year 94. It is a separate service category in CSDB for Fiscal Year 99.
The Congregate Care Facility service category used in NADB for
Fiscal Year 94 is now referred to as Adult Residential Care in CSDB for Fiscal Year 99.
Personal Care was reported as a separate service category in NADB
for Fiscal Year 94. Depending on service location, Personal Care is allotted
to In-Home Services, AFHs, and ARCs in CSDB for Fiscal Year 99.
For more ways to get in touch with the Department of Social
and Health Services, go to
the DSHS Contact
Information Web page. Technical Site Comments: DSHS Webmaster.
Copyright 2004 Washington State Department of Social and Health Services.
