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Results for “Eligibility Determination”

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At least 19 recordsLinked to original sources
PubMed1988

Supplemental security income for the aged, blind and disabled; Medicaid eligibility determinations--Social Security Administration, HHS. Final rule.

We have revised our rules on the agreements under which we make Medicaid eligibility determinations on behalf of States for individuals who receive Supplemental Security Income (SSI) benefits. The revision provides that we may enter into an agreement with a State even though the State's Medicaid eligibility requirements differ from the requirements for SSI or for State supplementary payments, or both, in ways mandated by Federal law. We also have rewritten and reorganized our existing rules for making Medicaid eligibility determinations.

Aged↗
PubMedDate not supplied

On accreditation of healthcare organizations. Determining eligibility for Accreditation of Home Pharmaceutical Services.

Many misperceptions exist in the health care community about the Joint Commission's accreditation of home pharmaceutical services, primarily related to when pharmacy services are considered home care and which patients or services are eligible for survey. This article concentrates on eligibility for survey and accreditation of just one of the six eligible home care services-home pharmaceutical services. The concept of home care and pharmaceutical services is difficult for most people to understand. Unlike other home care services, pharmacy services cannot be provided directly in the patient's home. Pharmacy laws prohibit pharmacists from compounding and dispensing directly in the patient's home. The pharmacists must do these activities in a licensed pharmacy. Also, most patients who receive medications from pharmacies take their own medications in their homes. So the differences between home care pharmacy and ambulatory or retail pharmacy are much less clear-cut than the delivery of more traditional home care services such as nursing or home health aide services.

Eligibility Determination↗
PubMed1995

[Interrater reliability of expert assessment by the health insurance medical service in determining eligibility for disability benefits].

In this paper, we present the first study on the inter-rater reliability of a standardised examination of functional disability, employed by the medical service of the German statutory health insurance system ("Medizinischer Dienst der Krankenversicherung", MDK). 215 elderly adults (mean age 84) living in 6 nursing homes in Munich were included in the study. They were assessed by three medical students and two nurses of the respective nursing homes using the standardised questionnaire of the MDK. Inter-rater reliability of both a summary judgement of disability and of single items, such as impairments in activities of daily living, was assessed by kappa-coefficients. Inter-rater reliability was higher for the overall assessment of disability (kappa = 0.82 between nurses, kappa = 0.57 between medical students) than for most single items. Reliability was particularly low for some items on mental status (such as "restlessness") or perceptions (particularly visual perception) which require clearer definition. This pattern was consistently observed for the two types of comparisons (inter-students, nurse-nurse) and for different subgroups of the study population.

Activities of Daily Living↗