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Physical and Cognitive Impairment: Do They Require Different Kinds of Help?

Physical impairments are commonly believed to require relatively more active hands-on assistance with the activities of daily living (ADLs) while cognitive impairments use relatively more supervisory or standby assistance.

Summary and Policy Implications: Analyses of Medicaid Financing for Disabled and High Cost Children

The Congress, HHS, and other federal agencies have expressed considerable interest in the adequacy of current programs and policies affecting severely disabled children, particularly those who are technology dependent and whose health and medical care place catastrophic financing and caregiving burdens on their families.

Publicly-Financed Home Care for the Disabled Elderly: Who Would Be Eligible?

The purpose of this paper is to demonstrate the variability in estimates of disability in the U.S. elderly population as a function of differing definitions of physical disability and cognitive impairment.

Variations in the Medicaid Safety Net for Children and Youth with High Medical Costs: A Comparison of Four States

This report analyzes the Medicaid experience of children and young adults with total annual Medicaid claims of $25,000 or more in California, Georgia, Michigan and Tennessee in order to better understand service utilization patterns and how they vary by age and other characteristics.

Longitudinal Analysis of High Cost Medicaid Children in California

This report analyzed the Medicaid experience of children in California who had at least $25,000 in claims in 1983. The study analyzed their enrollment in claims experience over the period 1980-1986 in order to determine whether these children remain high cost over a number of years, and whether their eligibility changes over time. [35 PDF pages]

The Disabled: Their Health Care and Health Insurance

This paper compares the health characteristics (health status, health insurance coverage, use of physician and hospital care, and cost of care) of persons with and without disabilities. Three separate analyses are included: one on children, one on working age adults (aged 18-64), and one on the elderly. Various levels of functional disability are also examined.

Who is Paying the Big Bills? Very High Cost Pediatric Hospitalizations in California, 1987

This report analyzed data on all pediatric hospitalizations of $25,000 or more in California to determine the relationship between source of payment and various characteristics, including age and diagnosis. [39 PDF pages]

Research on Children, Youth, and Families: 1986-1990

This compendium is published by the Division of Children and Youth Policy within the Office of the Assistant Secretary for Planning and Evaluation. It summarizes the results of the Division’s research projects from 1986 through the present and highlights future plans.

An Estimate of the Number of Persons with Developmental Disabilities Receiving Supplemental Security Income Benefits and Their Characteristics

This paper was prepared as part of the Project to Design a Survey of Persons with Developmental Disabilities. The overall purpose of this project was to develop a national survey design that would provide data on a nationally representative sample of persons. This paper was conducted to develop a National Survey of Mentally Retarded and Developmentally Disabled Persons in Community Settings.

SSI-Related Disabled Children and Medicaid

This report analyzed the 1984 Medicaid experience of all children passing the Supplemental Security Income (SSI) disability test in California, Georgia, and Michigan to determine the enrollment, utilization, and expenditure patterns of these children. The study estimated the proportion of Medicaid expenditures attributable to SSI-related disabled children. [33 PDF pages]