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51 records match your search on "Consumer-Directed Care/Cash and Counseling" - Showing 1 to 10
Author(s): Charles P. Sabatino and Sandra L. Hughes Organization(s): American Bar Association This report addresses the liability issues that may arise in government-sponsored consumer-directed personal assistance programs (CDPAS). In analyzing these issues, the report focuses on the programs implemented in Arkansas, Florida and New Jersey as part of the Cash and Counseling Demonstration, but also briefly addresses variations on the liability analysis for two well-established CDPAS programs, California's In-Home Supportive Services Program and New York's Consumer-Directed Personal Assistance Program. The purpose of this report is twofold: first, to identify the circumstances in which negligance or other misconduct could result in liability and what persons or entities are likely to be liable; and second, to identify steps that can be taken to reduce exposure to such liability. [188 PDF pages]
Published: January, 2004 Availability:
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Consumer Directed Care: Florida Department of Children and Families, Developmental Services Program Report on Focus Groups (Report)
Author(s): B.L. Zacharias Organization(s): Zacharias Group Focus groups were developed to investigate reasons for slow enrollment in Florida's consumer-directed care program. The focus groups were comprised of participants who had direct contact with consumers who were eligible for the program and were recommended by the Department of Children and Families. This report provides information gathered on topics such as consumer-directed care and how to enhance interest in the Cash & Counseling program within this population in Florida.
Published: August, 2001 Availability:
The Cash and Counseling Qualitative Study: Stories from the IndependentChoices Program in Arkansas (Report)
Author(s): J.K. Eckert Organization(s): University of Maryland This report provides a a background into the purpose and design of the study and highlights 27 case stories of participants in the Arkansas IndependentChoices program. The case stories focus on consumer, caregiver, and counselor reactions and experiences with the program. A discussion on prevalent topics and themes of the interviews is provided.
Published: January, 2001 Availability:
Author(s): Barbara Phillips and Barbara Schneider Organization(s): Mathematica Policy Research This report describes the design and implementation of Personal Preference, New Jersey's model of Cash and Counseling. It also draws lessons from the state's experience. The report is based primarily on in-person interviews conducted in April 2001, about 18 months after the program began enrolling beneficiaries (November 1999). Interviews were conducted with New Jersey state officials, Personal Preference program staff members, officials of organizations representing the personal care industry in New Jersey, and staff members of organizations providing outreach, enrollment, consulting, and fiscal services under Personal Preference. [171 PDF pages]
Published: March, 2003 Availability:
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Lessons from the Implementation of Cash and Counseling in Arkansas, Florida, and New Jersey (Report)
Author(s): Barbara Phillips, Kevin Mahoney, Lori Simon-Rusinowitz, Jennifer Schore, Sandra Barrett, William Ditto, Tom Reimers and Pamela Doty Organization(s): Mathematica Policy Research This paper is the first to consider the Cash and Counseling program in all three states. It draws lessons about the structure and policies of a Cash and Counseling program, to provide information useful to other states considering adopting such a program. It draws on the experience of those responsible for the demonstration and evaluation at the Cash and Counseling National Program Office, ASPE, RWJF, CMS, the three participating states, and MPR. Evaluation staff visited each of the three Cash and Counseling programs about 18 months after each began to operate, and these visits provide an important source of data. [48 PDF pages]
Published: June, 2003 Availability:
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Improving the Quality of Medicaid Personal Assistance Through Consumer Direction (Report)
Author(s): Leslie Foster, Randall Brown, Barbara Phillips, Jennifer Schore and Barbara Lepidus Carlson Organization(s): Mathematica Policy Research As states seek to improve home and community-based services for people with disabilities, many are incorporating consumer-directed supportive services into their Medicaid programs. The national Cash and Counseling Demonstration uses a randomized design to compare an innovative model of consumer direction with the traditional agency- directed approach. This paper presents findings from the first demonstration program to be implemented, in Arkansas. Our survey of 1,739 elderly and nonelderly adults showed that relative to agency-directed services, Cash and Counseling greatly improved satisfaction and reduced most unmet needs. Moreover, contrary to some concerns, it did not adversely affect participants' health and safety. ("Health Affairs" web exclusive.)
Published: March, 2003 Availability:
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Author(s): Leslie Foster, Randall Brown, Barbara Phillips and Barbara Lepidus Carlson Organization(s): Mathematica Policy Research Cash and Counseling, an innovative model of consumer direction, has been implemented as a three-state demonstration designed to weigh the advantages and disadvantages of allowing Medicaid beneficiaries to assume more responsibility for the supportive services they may need. This paper presents estimates of program effects on primary informal caregivers (those providing the most unpaid supportive services at baseline) from Arkansas's Cash and Counseling demonstration, the first of three such demonstrations to enroll and randomly assign Medicaid beneficiaries to direct their own services or to rely on agencies as usual. Arkansas's consumer-directed program, known as IndependentChoices, was designed for elderly and nonelderly adults. [48 PDF pages]
Published: August, 2003 Availability:
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The Experiences of Workers Hired Under Consumer Direction in Arkansas (Report)
Author(s): Stacy Dale, Randall Brown, Barbara Phillips and Barbara Carlson Organization(s): Mathematica Policy Research In this paper, the authors use data obtained from the first Cash and Counseling demonstration, Arkansas' IndependentChoices, to assess the experiences of directly hired workers. They describe the types and amount of care that paid workers provide, the training and supervision they receive, their working conditions, and their well-being. They also consider how the worker-consumer relationship affects key outcomes. While this study is not an impact analysis, the authors use the experiences of agency workers as a benchmark for comparison of the experiences of directly hired workers. Thus, this analysis should enable policymakers to assess whether directly hired workers fare at least as well as agency workers. They do not expect, however, that agency workers and directly hired workers will necessarily have similar experiences, as most directly hired workers are the relatives or friends of the consumer, serving as part employee, part informal (unpaid) caregiver. This personal relationship will clearly influence caregivers' outcomes. [47 PDF pages]
Published: June, 2003 Availability:
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A Guide to Quality in Consumer-Directed Services (Report)
Author(s): Robert Applebaum, Barbara Schneider, Suzanne Kunkel, and Shawn Davis Organization(s): Scripps Gerontology Center The goals of this guidebook are twofold: The first goal is to aid states, programs and agencies in the design of "quality consumer-directed systems" and in some cases the redesign or re-evaluation of existing structures. The second goal is to develop continuous quality monitoring and improvement feedback mechanisms for these quality systems. This dual approach underlies the Blueprint for Quality in Consumer-Directed Programs. In support of the first goal, the guide presents a systematic approach for linking planning and quality in consumer-directed systems. In support of the second goal, the guidebook provides numerous examples of quality monitoring strategies (such as complaint hotlines, program performance indicators) as well as quality assessment and improvement activities (e.g., quality committees, program self-assessment, and personalized outcome data). Sample instruments designed to assure and improve quality such as a Personal Outcomes Survey and a Program Self-Assessment Tool are provided.
Published: October, 2003 Availability:
Consumer and Counselor Experiences in the Arkansas IndependentChoices Program (Report)
Author(s): Jennifer Schore and Barbara Phillips Organization(s): Mathematica Policy Research This report describes the implementation of IndependentChoices by synthesizing information from in-person interviews with program staff, a mail survey of program counselors, and telephone interviews with consumers who had the opportunity to receive the program allowance. It discusses the program's goals and features, how consumers managed their responsibilities under it and made use of its flexibility, and levels of consumer satisfaction with the program. Other reports present estimates of demonstration impacts on beneficiaries, their caregivers, and public costs; describe the types of beneficiaries who chose to participate; describe the features and procedures adopted by IndependentChoices in greater detail; and draw implementation lessons from all three demonstration states. [102 PDF pages]
Published: January, 2004 Availability:
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