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Highlights

Pursuant to a congressional request, GAO reviewed six states' long-term care case management efforts, focusing on: (1) what constitutes case management, (2) case managers' roles and performance barriers; and (3) standards for case managers.

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Recommendations

Matter for Congressional Consideration

Matter Status Comments
If Congress wishes to encourage more standardized case management by the states as part of its long-term-care initiatives, it should consider establishing broad standards for the core case management functions and case manager qualifications, and defer to state and local discretion such specifics as caseload size, client contact, and required education level and experience.
Closed - Not Implemented
Bills that included provisions for long-term care case management in keeping with the recommendation were considered, but not adopted, during the 103rd Congress. At present, similar legislation has not been proposed and there appears to be very limited interest in specifying even broad federal standards for case management.

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