Florida's District 12 Veterans Administration (VA) wanted to deliver medical case-management services to veterans not receiving home-based services due to the geographic restrictions of the VA's Hospital-Based Home Care Program. The Florida Department of Health and Rehabilitative Services (HRS) desired to demonstrate the effectiveness of nurse case-managed home services in conjunction with caregiver training. This document describes a cooperative demonstration for medically dependent elderly and their caregivers under Medicaid waiver which was developed by Florida's VA and HRS. It presents the TEACH (Train the Elderly And their Caregivers at Home) project and the local service delivery model which was developed. The goals of the project are presented as the reduction of Medicaid nursing home expenditures by delaying or avoiding nursing home placement and the provision of improved support for informal care by the family and other caregivers. The planned evaluation of the TEACH project is discussed as a two-phase process: a service evaluation will assess service cost-effectiveness, impacts on the care receiver and caregiver, and impacts on health service utilization by the targeted Medicaid population over age 65; an interagency coordination evaluation will describe the coordination efforts in terms of domain consensus, goal congruence, and communication. A four-page reference list is included. (Author/NB)