Expenditures

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Independent Choices: National Symposium On Consumer-Directed Care And Self-Determination For The Elderly And Persons With Disabilities

A summary from the June 2001 symposium titled, “Independent Choices: A National Symposium on Consumer-Direction and Self-Determination for the Elderly and Persons with Disabilities”. Major themes and outcomes are highlighted based on the dialogue from the various speakers including policymakers, program administrators, consumer advocates, service producers, and researchers.

Short URL: http://www.advancingstates.org/node/52231

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Implementation Lessons On Basic Features Of Cash & Counseling Programs

Based primarily on interviews with demonstration staff and other stakeholders, this paper draws lessons from their learning process on the design of basic features, in the Cash and Counseling demonstration programs. The lessons pertain to cooperating with existing service providers; outreach and enrollment; counseling and fiscal services; consumer spending plans and allowances; controlling program costs; and preventing misuse of the allowance and exploitation of the consumer.

Short URL: http://www.advancingstates.org/node/52230

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Implementation Issues For Consumer-Directed Programs: Comparing Views Of Policy Experts, Consumers, And Representatives

This article describes the importance of examining views from multiple key stakeholders involved in implementing CD programs. The report focuses on the three background studies that informed the Cash & Counseling Demonstration and Evaluation, as well as results from the first year of implementation.

Short URL: http://www.advancingstates.org/node/52229

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Participant Goal Setting Tool

This tool was developed to help participants in Cash & Counseling programs set personal goals. There are three major objectives sighted for the process: To develop a structured process to ensure that the participants’ goals are clearly articulated and that the spending plan represents the needs and wishes of the consumer, to assure and improve quality at the individual level, and to use data collected for quality improvement at the program level.

Short URL: http://www.advancingstates.org/node/52224

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The Effects Of Cash & Counseling On The Primary Informal Caregivers Of Children With Developmental Disabilities

This study assesses the effects of consumer direction on the experiences and well-being of the primary informal caregivers of children who participated in Florida's Cash & Counseling demonstration. Instead of Medicaid home and community-based services (HCBS) waiver benefits, the demonstration program provided a monthly allowance and let parents hire providers and manage the other services and goods their child needed.

Short URL: http://www.advancingstates.org/node/52215

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Does Arkansas' Cash & Counseling Affect Service Use And Public Costs?

Arkansas’ Cash & Counseling Demonstration program, IndependentChoices, was studied to examine the ways in which consumer-direction affects the cost of Medicaid personal care services, as well as the cost and use of other Medicaid and Medicare services. The study also examines the affect the program had on service utilization.

Short URL: http://www.advancingstates.org/node/52214

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