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A functioning profile of Medicaid Waiver participants in Michigan: does the program admit the high functioning?
1School of Social Work, University of Michigan, 1080 S. University, Ann Arbor, MI 48109-1106, USA. lydiali@mich.edu
Abstract:
Michigan's home and community-based Medicaid Waiver program (MIChoice) has been criticized for enrolling people who are relatively high functioning. This study examined the physical and cognitive function of a 2000-2001 cohort of MIChoice enrollees and found that about 10% can be considered high functioning, 32% medium functioning, and 58% low functioning. Much of the controversy over MIChoice can be traced to contradictions inherent in the payment system and the fundamental premise that drives the program.
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