provided by Medicaid-certified personal care agencies, are unsatisfactory. Consumer-directed Cash and Counseling programs … provide eligible Medicaid beneficiaries with a monthly allowance to direct their PCS as they see fit. This article assesses …

To address the needs of Medicaid beneficiaries who are elderly or disabled and desire greater control over their …, and costs to Medicaid. The findings from the randomized trial study design show that the program had overwhelmingly … positive effects on consumers of all ages and their caregivers. However, in each state, total Medicaid expenditures were higher …