Medicaid Utilization & Spending
Definitions
nICF/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.
nPersonal 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:
ˇAuthorized 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
ˇProvided by an individual who is qualified to provide
such services and who is not a member
of the individual’s family.
nOther 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)
Source:
Centers for Medicare and Medicaid Services, 2003 figures