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State Perspective on Cash & Counseling Program in Medicaid

This Congressional briefing explores the benefits of Cash & Counseling programs in Medicaid, including demographic trends shaping its importance, workforce challenges, and improved consumer satisfaction. Lessons from Arkansas, Florida, and New Jersey highlight success stories and emphasize the program's support for informal caregiving.

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State Perspective on Cash & Counseling Program in Medicaid

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  1. William A. B. Ditto New Jersey July 29, 2005 Cash & Counseling Congressional Briefing“A State Perspective”

  2. Cash & Counseling: Why States are Interested • Demographics • Aging & Disability Population Growth • Workforce Shortages • Empowerment & Increasing Personal Responsibility • Prudent Purchasing & Better Use of Resources • Increased Consumer Satisfaction • Informal Caregiving

  3. Original Cash & Counseling Demonstration: Lessons from Arkansas, Florida, New Jersey • The Program Works! People Like it! • C&C is NOT for everyone • C&C supports informal caregiving • People get the services they need, when they need them, and they are “prudent purchasers” • Equipment, supplies and devices help increase independence and function • Most folks in C&C “underspend” their allotment • Traditional home care agencies are still an important element and C&C does not impact them adversely

  4. State Issues in Cash & Counseling:Federal Waivers • For State Plan personal care assistant (PCA) services, only an 1115 Waiver can be used. • Cost issues: Cost-effectiveness vs. Budget Neutrality • 1915(c) Waivers do not reach the large number of elderly & disabled people on State Plan PCA services • 12 new Cash & Counseling demonstration states not planning to include State Plan PCA recipients • Our goal: To make this service delivery option available to ALL Medicaid recipients who rely on PCA services

  5. The Faces of C&C

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