A total of 25 clients received purchased client services. Count = Number of clients that received a particular service during the fiscal year. Percentage of clients receiving services is calculated by dividing the total number of clients (25) into the count. Average expenditure per client is calculated by dividing the count into the expenditures.
Nursing Home Transition Initiative The Nursing Home Transition Initiative (NHT) is a Medicaid initiative established by the Agency for Health Care Administration (AHCA) in coordination with the BSCIP. This initiative was implemented in September 2009, and transitions individuals out of nursing homes and into the community. To be eligible for services, individuals must be enrolled in Medicaid, 18 years of age or older, have resided in a nursing home for a minimum of 60 consecutive days, and accepted to receive services through the TBI/SCI Home and Community-Based Medicaid Waiver. BSCIP utilizes the Brain and Spinal Cord Injury Program Trust Fund to provide transition and Waiver services upfront, but is reimbursed 100% for these expenditures from nursing home funds, as specified in proviso language. Services include case management, all TBI/SCI Home and Community-Based Medicaid Waiver services, and transition home modifications.
During fiscal year 2010-2011, the NHT Initiative provided case management and purchased client services to 60 clients. The total cost for purchased client services was $1,533,620. BSCIP utilized eight contracted Disability Management Specialists located throughout Florida to provide case management and oversight of all services to these clients.
The largest percentage of clients served by the NHT Initiative were spinal cord injured (48.3%), white (85.0%), male (68.3%), and between the ages of 46-50 years of age. The largest percentage of injuries resulted from an auto/truck traffic-related accident (45.0%).
The most commonly provided services for NHT Initiative clients were companion services, community support coordination, personal care, and consumable medical supplies. The highest percentage of purchased client services dollars were spent for personal care, companion services, and attendant care.
Detailed information on all clients served by the NHT Initiative follows:
Nursing Home Transition Initiative by Injury Type