With demand for Medicaid long-term services and supports increasing nationwide, states
are seeking ways to ensure resources are allocated to individuals who most need them.
States have implemented assessment tools and algorithms to prioritize individuals
most at risk for institutionalization or high service utilization. Frailty, a state
of physical vulnerability associated with greater disability and increased healthcare
utilization among older adults, has gained significant attention in recent years within
medical literature. However, the use of frailty in social service systems has largely
been limited to epidemiologic studies of populations receiving home and community-based
services (HCBS). Understanding the prevalence of frailty and how it varies may assist
with more precise identification of individuals most in need of services. Early identification
of these individuals may allow for enhanced care planning to prevent or slow the progression
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