Nursing home pre- admission screening: a review of state programs.
Date of Pub
Clauser, Steven B; Fatula, James
From January through March of 1981, the Health Care Financing Administration (HCFA) surveyed the agencies of 49 States and
the District of Columbia responsible for the administration of the Medicaid program. The purpose of the survey was to determine
if the agencies had a nursing home pre-admission screening program for Medicaid patients. Twenty-eight States and the District
of Columbia responded that there was a state-wide, pre-admission screening program for Medicaid patients prior to their entry
into a nursing home, or that there was a program operating in a portion of the State. HCFA collected information on the scope
of the programs, the agencies responsible for conducting pre-admission screening, the composition of the screening teams,
and the characteristics of the client assessment instruments. Two States, Virginia and Massachusetts, provided information
on program impact. This article presents the findings of the survey and explores several aspects of the Medicaid program influencing
the effectiveness of pre-admission screening. It begins with an overview of the policy issues which have influenced the development
of pre-admission screening and defines the core components of these programs.
Utilization Review : Aged : Eligibility Determination : Human : Massachusetts : Medicaid/utilization : Nursing Homes/utilization
: Patient Care Planning/organization & administration : United States : Virginia