Glossary Fiscal Year 2002 - 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.
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) Fiscal Year 94 to CSDB-Fiscal Year 99:
Case Management and Comprehensive Assessments were reported
in NADB for Fiscal Year 94 but are not 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 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.
Changes from CSDB-Fiscal Year 00 to CSDB-Fiscal Year 01:
Adult Protective Services (APS) were reported in NADB for Fiscal Year 94 as well as in
CSDB for Fiscal Year 99 and Fiscal Year 00 but are no longer reported in CSDB for Fiscal Year 01. Due to
AASA's shift to a new reporting system in May of 2000, CSDB no longer has
access to this data.
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.
