Medicaid
5
min read

Assessing Functional Needs for Medicaid Waivers and Long-Term Care Planning

Learn how FASI helps assess your loved one’s care needs, qualify for Medicaid waivers, and create personalized care plans to ensure they get the support they deserve.
Published on
January 17, 2024
Presented by Givers
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Key Takeaways

Functional assessments are used to see how well a person can do everyday activities and are important for people who need long-term care. The Functional Assessment Standardized Items (FASI) is a tool that checks how well someone can do basic and complex daily tasks to ensure they get the support they deserve, either at home or in the community, or through other long-term care options.

Ahead, we explore how FASI impacts Medicaid eligibility and long-term care planning.

What is FASI?

Functional Assessment Standardized Items (FASI) is a collection of standardized questionnaires and scales designed to evaluate a person's ability to perform everyday activities. These assessments measure functions from basic self-care activities to more complex ones like managing finances or using transportation to determine the level of assistance they need.

Key components of FASI

The Functional Assessment Standardized Items (FASI) is a set of tools used to assess a person's ability to function in their daily life, especially those who receive Home and Community-Based Services (HCBS). They help healthcare providers, caregivers, and family members by providing standardized information to make care plans and decide if the person is eligible for long-term support programs like Medicaid waivers.

Standardized questionnaires and observational methods

FASI employs both surveys and observational methods to make an assessment of disability. The surveys ask people or caregivers about what they can do. Meanwhile, healthcare workers observe how people walk, bathe, and eat. Using both surveys and watching helps give a complete understanding of a person's abilities.

Specific areas assessed by FASI

FASI covers many functional areas to provide a detailed picture of a person's abilities and care needs, including:

  • Mobility: Assessing a person's ability to move around their home or community independently by walking, transferring from a bed to a chair, and using assistive devices like walkers or wheelchairs.
  • Self-care: Assessing a person's ability to maintain personal hygiene, dressing, toileting, and bathing, and how much assistance they need here.
  • Medication management: Assessing a person's ability to manage their medications, including taking them as prescribed, refilling prescriptions, and organizing their medication schedule​.
  • Social participation: A behavioral assessment of a person's ability to engage in community and social activities, including communication, telephone or computer use, and managing relationships.
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How FASI results impact Medicaid waiver eligibility

FASI can help determine eligibility for Medicaid long-term care programs, particularly Home and Community-Based Services (HCBS).

Eligibility for Medicaid long-term services

To qualify for long-term care services, Medicaid programs often require recipients to demonstrate they need help with everyday tasks like bathing, dressing, or managing medications. For example, people who struggle with these tasks may be able to get support to stay at home or in their community instead of moving to a nursing facility.

Personalized care plans

Results help create a care plan that focuses on each individual person's needs. For those on Medicaid, this assessment ensures that resources such as caregiving services, medical equipment, or therapeutic interventions match the person's needs appropriately.

Resource allocation

Results help Medicaid decide what services an individual can receive, including Structured Family Caregiving, assistive devices, or respite care, among others. The assessments make sure that resources go where they will have the most impact on maintaining or improving the person's independence.

Transitioning between care levels

Changes in FASI scores can show if someone needs more help, like moving from community services to a nursing home. On the other hand, if FASI scores improve, the person might need less help and can stay independent with fewer services.

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Settings for FASI Use in long-term care

FASI is designed to be used in any care setting, including at home, in outpatient services, and by family caregivers. Its design ensures consistent evaluation and monitoring, leading to better care planning and coordination no matter where someone is in their care journey.

Post-acute care settings

When someone leaves the hospital to go to a rehabilitation center or skilled nursing facility, FASI helps assess patients' functional abilities. The information from FASI helps healthcare professionals make personalized plans to help patients get better faster and more effectively by working on specific problems.

Community-based long-term services

FASI is also helpful in community-based settings, providing long-term support, especially for older adults or those with chronic health conditions. Here, FASI assessments determine the level of assistance required for activities of daily living, ensuring that individuals receive appropriate support while maintaining their independence and quality of life in a community setting.

Transitioning between care settings

FASI ensures a smooth transition between different levels of care, from independent living to hospice care. By regularly assessing an individual's functional status, caregivers and healthcare providers can make informed decisions about the need for transitions to more or less intensive care environments.

Comprehensive care tool for coordinating care

With the ability to provide a thorough and standardized assessment across many settings, FASI makes care simple. Using FASI, you can advocate for your loved one, guaranteeing they receive the best medical and practical care during this important life stage.

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