Consumer/Participant Direction

This report details the enrollment issues faced during implementation of the program. In addition, the report looks at consumer experiences including issues resulting from acting as an employer and effects on quality of life. The abstract (free) and full report (subscription required) are available.

This article discusses the benefits and opportunities presented as a result of the Center for Medicare and Medicaid Services (CMS) publishing the final Medicaid rule that permits Medicaid recipients to self–direct their own health care and supportive services. The rule is known as Self–Directed Personal Assistance Services Program State Plan Option (Cash & Counseling).

This article presents results of a survey of the attitudes and practices of managed care organizations concerning consumer direction. The study focused on understanding several alternative measures of consumer direction and the factors that are associated with the MCOs concerning those measures.

This brochure feature's Kentucky's Cash & Counseling project, CDO. The three fold brochure has information about who is eligible and how to get started.

A modest evaluation of the experience in Minnesota was included as part of their Cash & Counseling grant and this is the final report describing that qualitative evaluation.This report explores consumer and family member response to CDCS, presenting the results from key informant interviews held in 2007.

This report synthesizes information from in-person interviews with program staff, a mail survey of program counselors, and telephone interviews with consumers who had the opportunity to receive the program allowance. It also discusses the program's goals and features, how consumers managed their responsibilities under it and made use of its flexibility, and levels of consumer satisfaction with the program.

The Alliance for Health Reform briefing took place July 29, 2005. Three presentations made at the briefing on the effects of Cash & Counseling can be found here.

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.

This Issue Brief features information gathered from Arkansas' IndependentChoices program including satisfaction and how consumers used their budgets.