1915c

This presentation was given for the Administration on Aging Nursing Home Diversion and Modernization grantees. The presentation compares Medicaid requirements for a Cash & Counseling type option to non-Medicaid practices.

A presentation for the 2003 Gerontological Society of America Annual Scientific Meeting. Presented are findings on the purchase of goods and services under Cash & Counseling in Arkansas and New Jersey. A topic report on the presentation is also available here.

An overview of Cash & Counseling including a historical context, the theoretical framework for evaluation, and information on design.

This article describes existing personal assistance service programs as well as information on the Cash & Counseling demonstration and evaluation. The program evaluation, including program design, technical assistance, and selection criteria, is discussed.

This presentation provides an overview of the Cash & Counseling design and research results.

States are increasingly interested in the individual budget model for older Medicaid beneficiaries as a mechanism to improve responsiveness of benefits to beneficiaries’ needs and preferences and to increase their ability to remain outside or leave nursing homes. This report describes 10 operating individual budget model programs that serve older persons and identifies four areas of program design that are of particular importance to the success of the individual budget model.

This brief describes the evolution of beneficiary-managed home and community-based services since the original demonstration and provides an overview of state activity as of January 2006. The Deficit Reduction Act of 2005 gives states the option to use this model for an expanded range of home and community based services in their state Medicaid plans without having to obtain a waiver.

This report and tables present Medicaid 1915(c) Home and Community-Based Services (HCBS) Waiver expenditures data from Federal Fiscal Years 2003 through 2008. Each HCBS waiver is classified by population served in order to show the distribution of expenditures across long-term care populations. This report includes new target population categories to identify waivers that target particular developmental disabilities such as intellectual disabilities and autism spectrum disorders.

 This is Alabama's application for a Self-Directed Personal Assistance Services State Plan, used to implement their Cash & Counseling project.

Developing HCBS alternatives to institutional care has been a priority for many state Medicaid programs over the last three decades. While the majority of long-term care dollars still go toward institutional care, the national percentage of spending on HCBS has more than doubled from 19 percent in 1995 to 41 percent in 2007. This article presents a summary of the main trends to emerge from the latest (2006) expenditures and participant data for the three main Medicaid HCBS programs.