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36 CHAPTER TWO : {continued) j e Private Fee-for-Service Plans—This is a new Medicare health care choice in <ome areas of the country. Individuals may go to any doctor, specialist, or hos- pital. Plans must cover all hospitalization and medical insurance benefits. Some plans cover extras like extra days in the hospital. The plan, not Medicare, de- cides how much you pay. SOURCE: Medicare: The Official US. Government Site for. Medicare Information. (2000). Available at http: www.medicare.gov Medicaid i Title XIX of the Social Security Act is a program that provides medical assistance for certain individuals and families with low incomes and resources The program, known as Medicaid, became law in 1965 as a jointly funded cooperative yentur between the Federal and state governments Lo Assist states in the provision of ade: quate medical care to eligible needy persons. Medicaid is the largest program pros viding medical and health-related services to America’s poorest people. Within 7 broad national guidelines that the federal government provides, each of the states: 67 « Establishes its own eligibility standards. , e Determines the type, amount, duration, and scope of seryices. ' e Sets the rate of payment for seryices, 67 » Administers its own progratl. Thus, the Medicaid program varies considérably from state to | state, jas welllas 68 within each state over time. i SOURCE: Health Care Financing Administration: {2000 Availablel| at | hipZwwwems hhs. Yimn: Atdefanlt asn? | 68 <) ; 1 i 70 will continue to be used in elder care 10 SCIVE these individuals with| complex short- or long-term needs, especially as the aumbers of seniors needing support 106 increases. § : CONTRIBUTIONS TO CASE MANAGEMENT: REHABILITATION gt ACT OF 1973 | . Client involvement, a basic principle of case management today, was also an im- habilitation Act of 1973 and its subsequent amendments portant theme in the Re , _ through 1986. These pieces of legislation promoted consumer involyement while 3 = serving individuals with severe disabilities (Rubin & Roessler, ZQO l),{parliculm'ly in eligibility determination and plan development. C!ic11l satisfaction ap(l the ey o0 adequacy of services also received attention. Client inyolyement was further : strengthened when the Rehabilitation Act Amendments of 1992 apcl }998, em- phasizing consumer choice and control in setting goals and objectives, Were passed. emned. or duplicated, ia whole e in pust. Due % aloctmic riglhts, wime Giisd pany corsent my be PP sed fruen cwntoant sl et atarsaliv aflect s coarenbl baurmsne aum————— l'.-——vl,-.u-—awlh— re b Foe od. May not be copied, 36 e Ao thaat e asemnesns s o Copyvight 2013 Cengage Leaming All Rights Resery T o Sicunbissm Al nTamso X blareal, s " PREVIOUS PAGE ‘MacBook Air