Each COSA assessment, generally conducted in the home, includes questions on the applicants' physical health, functional ability, mental and cognitive functioning, caregiver and other supports, physical environment, and financial resources.

• A Community Assessment determines the need and eligibility for In-Home Services or Nursing Home Care.
• A Pre-Admission Assessment is conducted to determine clinical eligibility for Nursing Home placement. This assessment is primarily intended for adults, 18 years and over, for whom placement in a nursing home is being considered and for whom state funding for a nursing home bed is being sought. Other groups appropriate for a nursing home evaluation are: Anyone considering a nursing home and who desires having an assessment completed; individuals, regardless of their financial situation, who have a primary or secondary diagnosis of mental illness, intellectual disability, or other related condition.

All In-Home Services require either a Community or Pre-Admission Assessment. 

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