Complexities and actualization: embedding a home-based functional improvement intervention within a Medicaid Waiver

Excerpt

CAPABLE is a multi-component intervention tested through CMMI Innovation funds to improve self-identified functional goals of low-income older adults. CAPABLE components include fixing the home environment and providing up to 10 home visits by occupational therapists and nurses to address functional challenges to self-management. Linking environment and function to health are not traditional home care and Medicaid waiver practices yet potential program outcomes (reduction of functional disability, depression, polypharmacy and nursing home placement) align with Medicaid Waiver goals. Using normalization process theory, we present challenges and opportunities implementing CAPABLE in a new setting: a home health agency in Medicaid Waiver program. …