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seemed reasonable to restrict the analysis to claims made during a single year. In this way, service utilization and costs would be comparable as possible between LLHCSA and non-LLHCSA recipients.

  • 138 of the 183 LLHCSA recipients had made a claim during 2003. Only 2003 claims made after the recipient made their first LLHCSA claim were included.

  • A pool including all non-Limited License ACF’s located in any upstate county or in Nassau county was developed and any recipient who had received personal care services at some point during 2003 at one of these facilities was eligible for inclusion in the comparison group.

These stipulations resulted in the selection of 159 individuals who had received personal care services in any of the non-LLHCSA programs upstate or in Nassau county for the comparison group. In the absence of recipient level clinical information, these stipulations were intended to provide for a comparable level of impairment between the LLHCSA and non-LLHCSA recipients.

TABLE 3

THE NUMBER OF RECIPIENTS AND MEAN MA DOLLARS PER RECIPIENT IN 2003 FOR LIMITED LICENSE AND NON-LIMITED LICENSE RECIPIENTS

Category of Service

number of recipients

mean dollars per recipient

In-Home Services

Personal Care Services

100

$2,842

Home Health Services

20

$7,029

number of

mean dollars

recipients

per recipient

Limited License Group

Institutional Services

Comparison Group

86

$4,953

48

$2,539

Nursing Home Services

54

Inpatient Services

37

Table 3 presents the personal care, home health services, nursing home services, and inpatient services costs for the comparison and LLHCSA recipients during this period. This table reveals that results are mixed regarding comparisons between LLHCSA and non-LLHCSA recipients in terms of expenditures. Comparison group recipients have

$36,080

58

$28,043

$2,944

62

$5,728

8

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