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Thanks, Nancy, for a great account of the waiver program in Ohio. Don't
know if it is similar to Maine's, but probably not too different.
It also occurred to me re: Ivan that one problem may be his spasmodic
mobility. I know when Peter briefly had Medicare payment for HHA services
after a hospitalization they were careful to explain that in order for them
to pay, the person MUST be "housebound", i.e. very limited in outside
activities---could go to visit a daughter, eat out occasionally, but not
frequently, etc,  Could that be part of Ivan's problem?

Nancy wrote--
SNIPPED>
>As for social activities... this is a dilemma for many because people
>need socialization and unfortunately society doesn't value it enough to
>want their tax dollars to go for the activities hours with the HHA doing
>the transporting. Society doesn't acknowledge or see that socialization
>is vitally important for the total health of a human being.  It is
>cheaper to place a person in adult day care than it is to pay the HHA
>for that day. $61. -85. for adult day care verses HHA at 12.55 per hour.
>Also, if the HHA calls off the patient is without care. Some patients
>would be in grave danger if not one was there to assist them. The
>solutions always sound so logical and easy, but they are not.

Camilla Flintermann, CG for Peter 82/70/55
Oxford, Ohio
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           on the web at  http://members.tripod.lycos.nl/genugten/flinterm.htm
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