Assessments

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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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Implementation Issues For Consumer-Directed Programs: A Survey Of Policy Experts

Implementation issues discussed in this article are centered around how consumers, providers, payers, and policy makers are affected by consumer-directed programs. The information for the report was gathered through interviews with twenty policy experts from the aging and disabilities community.

Short URL: http://www.advancingstates.org/node/52228

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How Cash & Counseling Affects Informal Caregivers: Findings From Arkansas, Florida, And New Jersey

This report estimates the effects of Cash & Counseling on the caregivers who were providing the most unpaid assistance to adult beneficiaries when those beneficiaries volunteered to participate in the demonstration and completed a baseline interview. The caregivers in this analysis--identified by beneficiaries as their primary informal caregiver at baseline--were interviewed about 10 months later.

Short URL: http://www.advancingstates.org/node/52227

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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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