Cash and Counseling had sizable effects on the proportion of people receiving paid care in Arkansas and New Jersey. It also had sizable effects among the nonelderly—but not the elderly—in Florida, where a higher percentage of enrollees were already receiving this type of care...

To address the needs of Medicaid beneficiaries who are elderly or disabled and desire greater control over their personal care, the federal government has encouraged states to offer consumer-directed options. One of the most innovative and flexible consumer-directed-care models is Cash and...

This report details implementation, goals and features, and consumer satisfaction with New Jersey’s Cash and Counseling program, called Personal Preference. The model proved administratively feasible and politically tenable during the evaluation period. Data from discussions with program...

Promoting the well-being of parents and other relatives who serve as informal caregivers to provide vital, unpaid personal care to children with developmental disabilities is an important policy objective. Furthermore, paid supportive services that children receive in addition to unpaid care...