Arkansas

A two page open ended questionnaire to help consumers determine what services and purchases will help meet their needs.

Arkansas’ Cash & Counseling Demonstration program, IndependentChoices, was studied to examine the ways in which consumer-direction affects the cost of Medicaid personal care services, as well as the cost and use of other Medicaid and Medicare services. The study also examines the affect the program had on service utilization.

This paper focuses on the first three stages of the CCDE: Choosing states and the evaluator, preparation, and implementation/data gathering. This paper is part of Consumer Voice and Choice in Long-Term Care, a book inspired by a Robert Wood Johnson Foundation- and Scripps Gerontology Center- supported conference.

Intended to provide historical perspective on the federal government's involvement in the Cash & Counseling Demonstration and Evaluation as an example of the federal role in consumer direction, this article describes how previous research and analysis led to DALTCP's interest in sponsoring this social experiment.

This article explores savings outcomes and programmatic factors that may support savings in the Cash & Counseling Demonstration, using a convenience sample of Medicaid and Medicare beneficiaries from three states: Arkansas, Florida, and New Jersey.

This study of the Cash & Counseling demonstration program for adults in the three participating states examines how a new model of consumer-directed care changes the way that consumers with disabilities meet their personal care needs and how that affects their well-being. Demonstration enrollment, which occurred between December 1998 and July 2002, was open to interested beneficiaries who were eligible for PCS under their state Medicaid plan.

This article discusses the quality of care received by participants in the Cash & Counseling Demonstration and Evaluation, including health outcomes, the potential for fraud and abuse, and participant satisfaction.

The purpose of this study was to determine consumers’ interest in a cash option for personal assistance services, in comparison to traditional agency-delivered services. Telephone surveys and focus groups produced information on four states, including demographics, and preference toward a cash option. The results are discussed and policy issues are examined.

To help understand the implications of consumer-directed programs abroad, AARP's Public Policy Institute commissioned a study to describe and analyze consumer-directed programs in the Netherlands, England, and Germany. Researchers completed in-person interviews with key stakeholders and conducted an in-depth literature review.

This study examines how this model of consumer-direction changes the way consumers meet their personal assistance needs. Consumers reported the type, timing, and amount of personal assistance they received, as well as any home or vehicle modifications and equipment purchases made, to meet their personal assistance needs. This report discusses consumer-satisfaction, unmet needs, and additional Medicaid costs.