These agencies have the Herculean task of creating order and organization in this system. These include Area Agencies on Aging, Base Service Units of Mental Health Agencies, agencies funded by Title XX of the Social Security Act, and home care agencies reimbursed through Titles XVIII (Medicare) and XIX (Medicaid) of the Social Security Act.Ĭase management or coordinating agencies have been established in many locales, partly in response to the complexity of the service system which provides community care to the elderly. They may receive reimbursement for services from a variety of social service, aging, or health funding streams. Providers may be public, non-profit, or proprietary. The needs of the elderly population are varied, and the service providers attempting to meet these needs represent a diverse group of agencies, organizations, and institutions. INTRODUCTIONĬaring for the elderly in a community setting has become an extremely complex task. Cohen, Editor-in-ChiefLinda Staroscik, Managing Editor I. Mid-Atlantic Long Term Care Gerontology CenterEvan Sorber, Executive DirectorDivision of Public Policy and Information DisseminationTechnical Assistance MonographsElias S. Sterthous are members of the staff of the Technical Assistance Contractor to the National Long Term Care Channeling Demonstration Program, Division of Technical Assistance and Training, Mid-Atlantic Long Term Care Gerontology Center, Temple University, Philadelphia, Pennsylvania. It has been adapted for use by other case management agencies and disseminated by the Mid-Atlantic Long Term Care Gerontology Center at Temple University. This monograph was prepared for the agencies participating in the National Long Term Care Channeling Demonstration Program. The grantees' opinions expressed in this document do not necessarily represent official policy of the Department of Health and Human Services. Department of Health and Human Services, Washington, D.C. This monograph was developed through partial support of a grant to the Long Term Care Gerontology Center of Temple University by the Administration on Aging, Office of Human Development Services, Department of Health and Human Services, Grant #90-AL0011-01 and through partial support of Contract #HEW-100-80-0133 to the Contractor for Technical Assistance and Training to Demonstration Projects in the National Channeling Demonstration Program, Office of the Assistant Secretary for Planning and Evaluation, U.S. The e-mail address is: The DALTCP Project Officer was Robert Clark. Humphrey Building, 200 Independence Avenue, SW, Washington, DC 20201. For additional information about this subject, you can visit the DALTCP home page at or contact the office at HHS/ASPE/DALTCP, Room 424E, H.H. Additional funding provided by the Administration on Aging and Health Care Financing Administration (now the Centers for Medicare and Medicaid Services). Department of Health and Human Services, Office of the Assistant Secretary for Planning and Evaluation, Office of Social Services Policy (now the Office of Disability, Aging and Long-Term Care Policy) and Mathematica Policy Research, Inc., and contract #HEW-100-80-0133 with Temple University. This report was prepared under contract #HEW-100-80-0157 between the U.S. Temple University, Institute on Aging, Mid-Atlantic Long Term Care Gerontology Center 1982 Department of Health and Human Services A Guide to Memorandum of Understanding Negotiation and Development Mary L.
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