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- Tarren Bragdon
- Health Policy Analyst
- Empire Center for New York State Policy
- tbragdon@EmpireCenter.org
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- Definitions
- Clinic services – These include preventive, diagnostic, therapeutic,
rehabilitative, or palliative items or services that are provided to
outpatients and by a facility that is not part of a hospital but is
organized and operated to provide medical care to outpatients including
services furnished outside the clinic by clinic personnel to individuals
without a fixed home or mailing address.
- Home health - These are services provided at the patient's home, in
compliance with a physician's written plan of care that is reviewed
every 62 days, including.
- Nursing services that is provided on a part-time or intermittent basis
by a home health agency
- Home health aide services provided by a home health agency; and
- Medical supplies, equipment, and appliances suitable for use in the
home.
- The following optional therapy services are optional: physical therapy,
occupational therapy, or speech pathology and audiology services
provided by a home health agency or by a licensed rehabilitation
facility.
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- Definitions
- ICF/MR (institutions for those with disabilities) - These are services
provided in an institution for mentally retarded persons or persons with
related conditions. The primary
purpose of the institution is to provide health or rehabilitative
services to such individuals.
- Personal care/support - These are services furnished to an individual
who is not an inpatient or resident of a hospital, nursing facility,
intermediate care facility for the mentally retarded, or institution for
mental disease that are:
- Authorized for the individual by a physician in accordance with a plan
of treatment or (at the option of the State) otherwise authorized for
the individual in accordance with a service plan approved by the State;
and
- Provided by an individual who is qualified to provide such services and
who is not a member of the individual’s family.
- Other services – These include transportation, abortions, prosthetic
devices, eyeglasses and home and community-based services for those with
mental retardation and/or developmental disabilities (the majority of
spending in NY likely falls in this last category with transportation
being next)
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