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As of February 1998, there were 1,000 approved, county-specific slots in ACCAP statewide, of which 82 percent (817) were filled.
A central component of ACCAP is mandatory case management, wherein case managers are required to maintain weekly contact with their clients and make monthly home visits.
1992) found that the average inpatient costs for waiver participants in New Jersey's ACCAP program were nearly 30 percent less than those for all New Jersey AIDS patients during the period of 1987-1989.
Previous research by the Rutgers AIDS Research Group on the New Jersey ACCAP program using early 1990s data found that the program tended to mitigate racial, risk-group, and sex-related access barriers to home care (Crystal et al.
6) Because everyone participating in ACCAP received case management, we excluded case management visits from expenditure and home-care use measures.
We derived an indicator variable for participation in the waiver program by matching the claims file against the ACCAP client profile file provided to us as of May 1996.
ACCAP is available to both persons with AIDS or AIDS-related complex (ARC) and to HIV-positive children up to 5 years of age.
ACCAP provides regular Medicaid State plan coverage, encompassing 27 service categories, in addition to waiver services that are not otherwise payable under Medicaid.
Nursing home rates were not used for establishing the ACCAP cost cap because of the unavailability of this service for PWAs in New Jersey at the time the program was approved.
A major component of ACCAP is comprehensive case management.
The background characteristics of ACCAP clients who had enrolled by the end of February 1990 and who had received a diagnosis of AIDS at the time of enrollment (that is, excluding a diagnosis of ARC and children who were HIV-positive only) were generally very similar to those of cases reported by the New Jersey State AIDS Registry (Table 1).
Racial and ethnic minorities comprised over one-half of all ACCAP participants (46 percent were African-American and 13 percent were Hispanic).