TABLE 2.
Description of Treatment Service(s)
| Continuity in Care | Public health nurse home visits |
| Continued Care | Public health nurse home visits |
| BRI Protective Service | Case management plus a number of ancillary services (fiduciary/guardianship services, financial assistance, home aide services, legal consultation, medical evaluation, nursing consultation and evaluation, placement in a protective setting, and psychiatric consultation) |
| Congestive Heart Failure | Public health nurse home visits |
| BRH Home Aide | Home aide visits (escort, health care, housekeeping, leisure, and personal care services) |
| Highland Heights | Low-income, federally sponsored, medically oriented housing |
| Chronic Disease | In-home services by an interdisciplinary team composed of a half-time nurse or social worker, a part-time physician, and two full-time health assistants, the latter of which provided the bulk of in-home care (e.g., therapeutic exercises, light housekeeping) |
| Worcester | Case management and other services not normally covered by Medicaid (architectural modifications, escort, linen, special therapies, telephone reassurance, and transportation) |
| Section 222 Day Care | Services provided in an adult day-care program (meals, nursing, nutrition, patient activities, personal care, social services, therapies, transportation, and eye, hearing, and podiatric examinations) |
| Section 222 Homemaker | Homemaker services (chore, personal care, shopping, and escort) |
| Wisconsin CCO/Milwaukee | Case management and other services not normally covered by Medicaid (adult day health care, advocacy, chore, companion, home-delivered meals, home health aide, housing search, medical equipment/supplies, nutrition education, personal care, respite care, skilled nursing, social day care, and transportation) |
| Alarm Response | In-home emergency alarm and response system |
| Georgia | Case management and other services not normally covered by Medicaid (adult day health care, adult foster care, boarding care, congregate living, home-delivered meals, home health aide, homemaker/chore, medical appliances and equipment, medically related transportation, medical social services, skilled nursing, and therapies) |
| Triage | Case management and other services not normally covered by Medicare (adult day care, chore, companion, dental, homemaker, intermediate care facility, legal aid, meals and meal delivery, medical devices (e.g., eyeglasses), mental health counseling, pharmaceuticals, residential care facility, and transportation) |
| Chicago | In-home visits by physicians, nurses, social workers, and home health aides (whose tasks included cleaning, personal care, shopping, meals, and laundry), and other services such as telephone reassurance and volunteer friendly visiting |
| On Lok | Case management and other services not normally covered by Medicare (adaptive/assistive equipment, adult day health care, audiology, dental care, drugs, intermediate care facility, nonemergency transportation, optometry, routine podiatry, and social day care) |
| Project OPEN | Case management and other services not normally covered by Medicare (adaptive/assistive equipment, adult day health care, audiology, chore, dental equipment/appliances, discharge assistance, escort, eyeglasses, hearing aids, homemaker, home-delivered meals, interpreter, medical social services, mental health counseling, optometry, podiatry, prescription drugs and biologicals, respite care, social day care, therapies, and transportation) |
| Health Maintenance Team | Up to 12 hours per week of in-home non-skilled nursing care by a health assistant, in-home visits by an RN or LPN as needed, and telephone supervision at a skilled level on a 24-hour-a-day basis |
| Home Health Care Team | In-home care by an interdisciplinary team composed of a physician, geriatric nurse practitioner, and medical social worker |
| New York City Home Care | Case management and other services not normally covered by Medicare (8 to 20 hours per week of homemaker/personal care, nonemergency transportation to and from health resources and organized social activities, and prescription drugs and biologicals) |
| San Diego | Case management and other services not normally covered by Medicare (adult day health care, client/family health education, home-delivered meals, homemaker/personal care, and medical and nonmedical transportation) |
| Florida Pentastar | Case management and other services not normally covered by Medicaid (adult day health care, homemaker, medical transportation, personal care, pest control, respite care, skilled nursing, and therapies) |
| Nursing Home without Walls Downstate, Upstate | Case management and other services not normally covered by Medicaid (congregate/home-delivered meals, home maintenance, housing improvements, medical social services, moving assistance, nutrition counseling, respiratory therapy, respite care, social day care, and social transportation) |
| South Carolina | Case management and other services not normally covered by Medicaid (adult day health care, home-delivered meals, medical social services, personal care, respite care, and therapies) |
| Channeling Basic | Case management plus a limited amount of discretionary funds to purchase gap-filling services |
| Channeling Financial | Case management and other services (adaptive/assistive equipment, adult day care, adult foster care, chore, companion, consumable medical equipment, home-delivered meals, home health aide, homemaker/personal care, housekeeper, housing and emergency assistance, mental health counseling, respite care, skilled nursing, therapies, and transportation) |
| Acute Stroke | In-home services by an interdisciplinary team composed of a full-time nurse and several part-time staff, a physiotherapist, occupational therapist, speech therapist, and social worker |
| ACCESS Medicare/Private Pay | Administrative case management and up to 100 days of skilled nursing home and/or home care per year; services included a skilled nursing home benefit intended to offer financial incentives for nursing homes to accept backed-up hospital patients, and a number of home care services not normally covered by Medicare (community health nursing, home health aide services, in-home doctor visits, licensed practical nurse services, medical transportation, personal care aide services, rental or purchase of durable medical equipment and supplies, and therapies) |
| ACCESS Medicare/Medicaid | All the above services offered to ACCESS Medicare/Private Pay participants, and some home care services not normally covered by Medicaid (friendly visiting services, heavy chore, limited housing improvements, moving assistance, rental assistance, respite care, and social transportation) |
| Post-Hospital Support | Case management, nurse, social worker, and health aide home visits, gap-filling services (e.g., incontinence supplies), and services geared to informal caregivers such as respite care, monthly caregiver support group meetings, and on-call services |