Florida's Medicaid AIDS waiver: an assessment of dimensions of quality.
Cowart, Marie E
Date of Pub
Mitchell, Jean M
Some State Medicaid agencies have implemented home and community-based waiver programs targeting acquired immunodeficiency
syndrome (AIDS) patients. Under these initiatives, State Medicaid agencies can provide home and community-base services to
persons with AIDS (PWA) as an alternative to more costly Medicaid-covered institutional care. This article evaluates quality
of care under the Florida Medicaid waiver for PWA along two dimensions: program effectiveness and client satisfaction. Clients
are generally satisfied with their case managers and the range and availability of services. Case managers appear to be well
trained. Moreover, the probability of turnover is quite low, despite heavy caseloads and high mortality. The major difficulty
faced by clients and case managers relates to the process of becoming Medicaid eligible.
Quality of Health Care : Acquired Immunodeficiency Syndrome/nursing : Case Management/statistics & numerical data : Community
Health Services/statistics & numerical data/standards/utilization : Eligibility Determination : Female : Florida : Health
Services Research/methods : Home Care Services/statistics & numerical data/standards/utilization : Human : Interviews : Male
: Medicaid/statistics & numerical data/standards/utilization : Patient Satisfaction : Support, Non-U.S. Gov't : United States