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CMS demonstration project ends in July
The Centers for Medicare & Medicaid Services (CMS) Medical Adult Day Services Demonstration began in August 2006 and will end July 2009. There is no set date for the final report, but CMS is required to submit the report and recommendations to Congress within eight months of the end of the project, according to a CMS representative. If approved, implementation will begin March 2010.
The demonstration project began with five home health agencies in different geographic locations. Over the first two years of the project, two agencies dropped out of the demonstration. "The data from these sites will be incorporated into the analysis and will provide positive information," according to CMS. Input from all agencies, including those that left the project, will enable accurate identification of areas that need to be addressed to improve the service. Although reasons for leaving the demonstration project varied, the geographic differences, as well as other factors, will add to lessons learned during the demonstration.
Although the design of the overall demonstration project has not changed since inception, individual sites were able to make approved changes to reflect specific issues faced in their communities. A CMS representative adds, "Overall, CMS feels good about what has been learned during the demonstration."