Long-Term Care:

The Need for Geriatric Assessment in Publicly Funded Home and Community-Based Programs

T-PEMD-94-20: Published: Apr 14, 1994. Publicly Released: Apr 14, 1994.

Additional Materials:


Office of Public Affairs
(202) 512-4800

Pursuant to a congressional request, GAO discussed geriatric assessments for federally-funded home and community-based long-term care, focusing on: (1) its definition; (2) the extent of its use in public programs; (3) the qualification requirements for geriatric assessment administrators; and (4) the benefits of standardizing the evaluation process. GAO noted that: (1) geriatric assessment is the skillful gathering of information about an elderly person's health, needs, and resources to determine a client's eligibility for services and provide a basis for the client's care plan; (2) a comprehensive, standardized geriatric assessment should be available to all elderly applicants for publicly funded home and community-based long-term care programs; (3) there is support for client screening to identify those clients who are most likely to benefit from comprehensive evaluation; (4) although geriatric assessment procedures are often employed in Medicaid waiver and state-funded community care programs, they vary among states and programs; (5) evaluator's professional qualifications vary from program to program; (6) although standardizing geriatric assessment programs could increase equity, decrease the likelihood of redundant assessments, and promote comprehensive care planning, it could adversely affect program flexibility and alienate some clients; and (7) client screening and improved evaluator training could reduce the negative effects of program standardization.

Oct 1, 2020

Aug 21, 2020

Aug 13, 2020

Aug 10, 2020

Jul 29, 2020

Jul 9, 2020

Jun 17, 2020

May 7, 2020

Apr 13, 2020

Feb 26, 2020

Looking for more? Browse all our products here