Table 2.
Factors Associated With Extended Nursing Facility Entry Versus Home- and Community-Based Services Among Medicaid-Only Adult Beneficiaries: California, 2006-2007.
| Independent variables | Total entrants |
|
|---|---|---|
| Odds ratio | 95% CI | |
| Age (age <45 reference) | ||
| 45-54 | 1.31*** | (1.19, 1.45) |
| 55-64 | 1.68*** | (1.53, 1.84) |
| 65 or more | 0.75*** | (0.66, 0.85) |
| Female (y/n) | 0.61*** | (0.57, 0.65) |
| Race/Ethnicity | ||
| Hispanic | 0.78*** | (0.72, 0.85) |
| Black | 0.83*** | (0.76, 0.90) |
| Asian | 0.61*** | (0.54, 0.69) |
| Other | 1.36*** | (1.21, 1.53) |
| 3 or more ADL limitationsa | 3.84*** | (3.59, 4.10) |
| Cognitive limitationsb | 1.60*** | (1.50, 1.71) |
| CDPSc | 1.00 | (0.98, 1.03) |
| Central nervous system conditiond | 1.47*** | (1.33, 1.62) |
| Psychological conditiond | 1.58*** | (1.43, 1.74) |
| Substance abuse disorderd | 1.39*** | (1.26, 1.53) |
| Living alone | 1.40*** | (1.30, 1.51) |
| Homeless | 4.27*** | (3.65, 5.01) |
| Medically Needy | 2.56*** | (2.37, 2.76) |
Note. CI = confidence interval; ADL = activities of daily living; CDPS = Chronic Illness and Disability Payment System.
Limitations in ADL (bathing, dressing, toileting, transferring, eating.
Limitation in Memory, Orientation, or Judgment requiring assistance, supervision or cueing.
Chronic Illness and Disability Payment System tool consolidates diagnostic codes into 58 categories and assigns each a score that represents the incremental, prospective expenditure risk associated with that category. Higher scores reflect greater morbidity.
Categorized from diagnostic codes, see Supplemental Materials Tables A3-A5 for detailed categorization.
P < .001.