What if the participant gets better?
Individuals typically do improve once they are in the program. Some of them actually improve so much that they are no longer nursing home eligible. When that happens, they can continue in the program if we can show that they will experience a decline if they are disenrolled from the program. Otherwise, they are disenrolled from the program but remember these folks would have improved to the point that they are now able to live independently without the intensive services of the program.