States considering a Cash and Counseling program are likely to be interested in the number and types of eligible beneficiaries it might attract, factors that could deter interested beneficiaries from participating, and possible increases it might create in the total number of beneficiaries...

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...

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...