Cash and Counseling

In an effort to enhance marketing efforts and increase enrollment in the Cash & Counseling Demonstration and Evaluation (CCDE), the Robert Wood Johnson Foundation provided funding to conduct qualitative research (focus groups). Participants included staff members whose agencies have contracts with the Florida Dept. of Elder Affairs & Florida Dept. of Children and Families to provide case management and personal care services to eligible elders and adults under age 65 with physical disabilities.

This report describes a Florida cash payment program, Consumer Directed Care, which is testing the effectiveness of increased participant control for people with disabilities, including children and older persons. Florida is part of a demonstration project to measure the impact of substituting a cash allowance for Medicaid services from provider agencies. This document provides information on the program implementation and impact.

Financing long-term care (LTC) is a key policy and budget issue both in New Hampshire and nationally. Debates focus on who should bear the financial burden of LTC or how the burden should be distributed. This brief looks at what LTC is, its importance to people with disabilities, LTC financing mechanisms, the economy and LTC, and recommendations for change.

This paper presents findings from the Cash & Counseling demonstration in Arkansas. The report shows results from a survey of 1,739 elderly and nonelderly adults. The results include that relative to agency-directed services, Cash and Counseling greatly improved satisfaction and reduced most unmet needs. Additional results and presented and discussed.

This paper looks at the issue of paying family caregivers. The paper provides a look at some of the research around this issue as well as practice and ethical issues.

This site provides general state information and links to e-Government services, state agencies, business, and tourism.

Cash & Counseling provides a flexible monthly allowance (based on the consumer’s care plan or claims history) that consumers can use to hire their choice of workers, including family members, and to purchase other goods & services. A demonstration was implemented in three states-Arkansas, Florida, & New Jersey. Based on their experiences, this paper draws lessons on designing & implementing a Cash & Counseling program, to provide information useful to states thinking of adopting such a program.

The Texoma Real Choice Program--a demonstration project made possible by a grant awarded to the Texas Health and Human Service Commission by the federal Centers for Medicare and Medicaid Services. The programs goal is to connect persons with disabilities to real service options with the help of system navigators available to assist people through systems and support groups. The below attachments are forms, surveys and other tools needed to implement the program.

What exactly does “empowerment” mean and how do we translate that into practical action? This brief paper describes some possible ways to measure empowerment.

A link is provided here to a press release from HiSoftware Company, a content quality management solutions company. The press release announces that the State of Florida Governor's ADA Working Group will be implementing AccVerify, AccRepair and AccMonitor Server from HiSoftware Company to manage state-wide accessibility initiatives.