REALIZING the impact of the medical care legislation and the potential for improv¬ ing, coordinating, and bringing about more ef¬ fective use of health services in the home, the health and social services departments in Contra Costa County, Calif., joined forces to appraise our public assistance medical care program.Formerly, public assistance recipients needing personal care, such as bathing, f eeding, dressing, or assistance with rehabilitation programs in the home, received additional funds in their grants to pay attendants for care.It was the recipient's responsibility to find and employ someone to perform the needed services.There were no qualifications for employment or standards set for care given.Legislation enabling the State to discharge its responsibility under Title XIX of the Social Security Act became effective on March 1,1966.The same legislation also terminated the pro¬ grams for public assistance medical care and medical assistance to the aged in California.Consequently, California counties were advised that home health aide services provided under the California Medical Assistance Program were intended to become the source of home health care services for public assistance recipients (1, 2).The State department of social welfare in its Mrs. Lemon and Miss Welches are supervising
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Lemon et al. (1967) studied this question.