A growing number of Medicaid beneficiaries receiving disability-related assistance in their homes hire workers and manage the services themselves under consumer-directed care. Although consumer direction clearly benefits beneficiaries, it is sustainable only if workers are satisfied with their...

A growing number of Medicaid beneficiaries receiving disability-related assistance in their homes hire workers and manage the services themselves under consumer-directed care. Although consumer direction clearly benefits beneficiaries, it is sustainable only if workers are satisfied with their...

Describes the experiences of 240 early clients in Personal Preference, the state's cash and counseling demonstration. Notes that 76 percent were still enrolled at the time of the nine-month interview, 17 percent had dropped out, and 7 percent had died. More than 7 out of 10 cash recipients said...

Describes the experiences of the first clients to participate in Florida's Cash and Counseling Demonstration, the Consumer-Directed Care program. Notes that most clients are children (47 percent) and nonelderly adults (36 percent). Almost all (99 percent) of those who received the program's...

This article presents the first impact analysis results from a three-state demonstration in which disabled Medicaid enrollees eligible for personal assistance services get a cash allowance rather than services so they can hire whom they please or use the money to buy equipment or supplies,...

Finds that many in the early treatment group cohort were in relatively poor health and had high levels of functional impairment. Still, one-third lived alone, and one-quarter had no unpaid informal caregivers. Most used the monthly cash allowance to hire a caregiver on their own; the majority of...

Describes the experiences of 240 early clients in Personal Preference, the state's cash and counseling demonstration. Notes that 76 percent were still enrolled at the time of the nine-month interview, 17 percent had dropped out, and 7 percent had died. More than 7 out of 10 cash recipients said...