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long-term care - Legislative Reference Bureau

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Congregate Housing, Adult Foster Homes, Board and<br />

Care Homes, and Residential Facilities.. ... .... ............ ..... .... ....... ..... ......... 49<br />

ARCHs in Hawaii .... ......... ...... ...... ... ...... ......... ...... ...... ...... .... .................... 49<br />

Categorical Versus Generic (Functional) Approach ............................ ......... 50<br />

Advantages of a Categorical Approach...................................................... 50<br />

Disadvantages of a Categorical Approach.................................................. 51<br />

The Generic Approach.............................................................................. 51<br />

Advantages of a Generic (Functional) Approach .................... ..................... 51<br />

Disadvantages of a Generic (Functional) Approach .................................... 52<br />

The Disabled as a Functional and Categorical Group................................. 53<br />

The Developmentally Disabled.................................................................. 54<br />

Long-Term Nature of Services and System Integration ............................... 54<br />

Living Arrangements for the DO .............. ............................. ..................... 55<br />

Federal Programs for the Developmentally Disabled................................... 56<br />

DO Services............................................................................................. 58<br />

Federal Payment Sources and DO Services....................... ......... ............... 59<br />

Family Support Services ........................................................................... 61<br />

Endnotes................................................................................................. 62<br />

4. OTHER STATES............................................................................................... 69<br />

Target Populations................................................................................... 69<br />

Single Entry Point (SEP) ........................................................................... 69<br />

Colorado Study ........................................................................................ 70<br />

Indiana Study........................................................................................... 72<br />

North Dakota Study.................................................................................. 81<br />

Texas Study............................................................................................. 85<br />

The Six Study States................................................................................ 88<br />

Arkansas................................................................................................. 90<br />

Illinois...................................................................................................... 91<br />

Maine ...................................................................................................... 91<br />

Maryland ................................................................................................. 92<br />

Oregon .................................................................................................... 96<br />

Wisconsin................................................................................................ 97<br />

Other States............................................................................................ 103<br />

Summary................................................................................................. 104<br />

Endnotes................................................................................................. 104<br />

5. HAWAII 112<br />

PART I .................................................................................................... 112<br />

The Department of Health......................................................................... 112<br />

Access to the Long-Term Care System by Multiple Populations .......... 112<br />

Access and Eligibility to DOH Programs and Services for the Elderly.. 113<br />

Access and Eligibility to DOH Programs and Services<br />

for Disabled Children ..................................................................... 116<br />

Access and Eligibility to DOH Programs and Services<br />

for Disabled Non-Elderly Adults ...................................................... 117<br />

The Department of Human Services ................ ...... .......... .......................... 118<br />

iv

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