| 8054.1 TBD |
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| About 1.2 million people receive disability-related supportive services in their homes through state Medicaid plans or home- and community-based waiver programs. Under state plans, services traditionally have been restricted to human assistance with personal care and homemaking provided by licensed agencies. Wavier programs have offered additional services, but coverage often has been limited, with a case manager deciding whether services were needed. In contrast to these traditional service models, states are increasingly offering Medicaid beneficiaries and their families the opportunity to obtain supportive services from individual providers. This alternative is called "consumer-directed" care. Cash and counseling is an expanded model of consumer-directed supportive services. It provides a flexible monthly allowance that consumers can use to hire their choice of workers and to purchase other goods and services. Cash and Counseling requires that consumers develop spending plans showing how they would use the allowance to meet their needs for supportive services. Consumers unwilling or unable to manage their allowance and responsibilities can designate a representative. This paper draws lessons on designing and implementing a Cash and Counseling program to provide information useful to states thinking of adopting the program. | |
| Project Officer: | Doty, Pamela |
| Office of Disability, Aging, and Long-Term Care Policy | |
| 202-690-6443 | |
Descriptors
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Study Types
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To request a copy of this report, please email pic@hhs.gov. Include the PIC ID and title of the reports you need, and a mailing address. |
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