Evaluation of the Medical Adult Day-Care Services Demonstration

The purpose of this task order is to conduct the evaluation of the Medical Adult Day-Care Services Demonstration. Under this demonstration, which was mandated by Section 703 of the Medicare Modernization Act of 2003, Medicare beneficiaries who qualify for the Medicare home health benefit will be allowed to receive a portion of their home health nursing and therapy services in a medical adult day care facility, instead of their home. In September 2005, a task order was awarded to Brandeis University, Institute for Health Policy, to conduct the evaluation. This task order consists of three phases. Phase 1 lasted 18 months and included finalization of the evaluation plan, most of the qualitative analyses, and preliminary activities related to the quantitative analysis. Phase 2 followed immediately after Phase 1 and lasted for 30 months. The bulk of the quantitative analysis was completed during Phase 2, and the final report was delivered to CMS Finally, Phase 3 consisted of an optional, extended period of 12 months, during which the contractor made revisions to the Report to Congress, as required during the federal review process, and address inquiries as needed.