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Table 2

MEDICAID DOLLARS AND SERVICE UNITS FOR SELECTED CATEGORIES OF SERVICE FOR ALL LLHCSA RECIPIENTS AFTER THE FIRST LLHCSA CLAIM 1999-2004

Category of

Total Medicaid

Service

Dollars

In-Home Services

Personal Care Services (183 recipients)

$1,316,417

Home Health Care (43 recipients)

$267,600

Long Term Home Health Care (3 recipients)

$1,350

Institutional Services

Nursing Homes (86 recipients)

$5,382,172

Inpatient (100 recipients)

$454,547

Dollars per Recipient

Total Service Service Unit

Units

per Recipient

$7,194

120,864 hours

660 hours

$6,223

1,794 claims 42 claims

$450

86 claims

29 claims

38,956 days

453 days

464 days

5 days

$62,583

$4,545

From the Medicaid claims data, it is clear that all 183 LLHCSA recipients received at least some personal care services at some point during the period. However, ACF residents in receipt of LLHCSA services are not required to receive personal care services and may, in fact, receive only subcutaneous and intramuscular injections. In order to estimate whether or not the LLHCSA program generated any cost savings, a comparison group composed of MA recipients in ACFs without a LLHCSA was developed.

In order to make the comparison group as similar to the LLHCSA group as possible the following criteria were employed:

  • The analysis was limited to claims made by LLHCSA and non-LLHCSA recipients during 2003 only. Since many of the 183 LLHCSA recipients had been making claims for varying lengths of time between 1999 and 2004, it

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