Outcomes of Person-Centered Planning in Medicaid Home and Community-Based Services

We examined two general PCP measures (one on decision-making and another on whether service plans reflected preferences/choices). We also constructed a scale to assess the fidelity of recipients' service planning meeting to the person-centered planning process. Outcomes included unmet service needs and community living (i.e., participation, control, and satisfaction). We examined recipient characteristics associated with PCP and used adjusted logistic regression models to assess the relationship between PCP and outcomes.RESULTS: About 72% of HCBS recipients were involved in decision-making, 72% reported their service plan reflected their preferences/choices, and 47% had meetings that scored "high fidelity" on the PCP fidelity scale. PCP measures were consistently related to lower likelihood of unmet service needs and greater likelihood of experiencing community living outcomes.DISCUSSION AND IMPLICATIONS: Findings suggest PCP is important for adequately meeting service needs and ensuring community living among HCBS beneficiaries. Additional standardized measures should be developed to facilitate quality improvement and accountability for delivering person-centered HCBS.PMID:38417832 | DOI:10.1093/geront/gnae017
Source: The Gerontologist - Category: Geriatrics Authors: Source Type: research