This study examines how this model of consumer-direction changes the way consumers meet their personal assistance needs. Consumers reported the type, timing, and amount of personal assistance they received, as well as any home or vehicle modifications and equipment purchases made, to meet their personal assistance needs. This report discusses consumer-satisfaction, unmet needs, and additional Medicaid costs. 

Dale, Stacy; Brown, Randall; Phillips, Barbara; Schore, Jennifer; Carlson, Barbara 

Medicaid; Independent Living; Expenditures; Cash and Counseling; IndependentChoices; Demonstration enrollment; personal care services under the state Medicaid plan; expenditure patterns; A New Model of Medicaid Personal Assistance; Cash and Counseling in Arkansas; Expected Effects of IndependentChoices on service use; Medicaid Expenditure Outcomes; Estimation of Program Effects; Likelihood of living in the community and receiving assistance during past two weeks; increased continuity of care for the non-elderly; IndependentChoices addressed a key limitation of agency care; Hours of Care for Non-Elderly Consumers; Purchase of Equipment and Modifications; PCS benefits; Implications for States Considering Consumer Direction; Medicaid Expenditures 

Consumer/Participant Direction 

Assessments, Reports 

Mathematica Policy Research 

Arkansas, Florida, New Jersey, All States/Territories 

01/11/2010 

Mathematica Policy Research

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