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...

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...

The Cash and Counseling Demonstration gives Medicaid beneficiaries who are eligible for personal care services a consumer-directed allowance in lieu of traditional agency services. Using survey and Medicaid claims data on 2,008 adult applicants randomly assigned to treatment or control groups,...

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...