Type of HCBS Support Provided Predictive of Frailty Status Change Among Older Participants

      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 of decline.
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