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O 1 <br /> Application Narrative <br /> I. The OrangeCounty Department of Social Services is the lead agency for <br /> the Long Term Care Screening Program. <br /> II. The populations to be served are: <br /> Base Populations: <br /> ... (1) Elderly or disabled adults who apply for admission to a skilled <br /> nursing facility and whose care is to be paid for my Medicaid. <br /> Numbed of clients screened . . . (1st grant period) 25 <br /> • <br /> Estimated number of clients . . (2nd grant period) 30 <br /> (2) Elderly or disabled adults who apply for admission to an intermediate <br /> care facility and whose care is to be paid for by Medicaid. <br /> Number, of clients screened . . . (1st grant period) 16 <br /> Estimated number of clients . . (2nd grant period) 20 <br /> (3) Elderly or disabled adults who are in a private pay status and request <br /> screening on a voluntary, fee basis. <br /> Numberof clients screened . . . (1st grant period) 2 <br /> Estimated number of clients . . (2nd grant period) 3 <br /> Optional Populations: <br /> (1) Elderly or disabled adults applying for admission to a "skilled <br /> nursing facility" or an "intermediate care facility" and who are <br /> likely Ito become eligible for Medicaid within six months on entering <br /> the facility. <br /> Number of clients screened . . . (1st grant period) 6 <br /> Estimated number of clients . . (2nd grant period) 6 <br /> (2) Elderly or disabled adults applying for admission to a domiciliary <br /> home and whose care is to be paid for with State/County Special <br /> Assistance for Adults. <br /> Number Of clients served . . . . (1st grant period) 1 <br /> Estimate(' number of clients . . (2nd grant period) 5 <br /> (3) Aging (60 and over) .nd disabled adults applying for other long term <br /> care services supported by any funding source such as Titles XIX.and <br /> XX of the Social Security Act, Title 111 of the Older Americans Act, <br /> the State In-Home Fund, the State Adult Day Care Fund, or the State <br /> Appropriation for Homemaker-Home Health Aid Projects . <br /> Number of clients served . . . . (1st grant period) 0 <br /> Estimated number of clients . . (2nd grant period) 10 <br />