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Cash & Counseling Congressional Briefing “A State Perspective”

William A. B. Ditto New Jersey July 29, 2005. Cash & Counseling Congressional Briefing “A State Perspective”. Cash & Counseling: Why States are Interested. Demographics Aging & Disability Population Growth Workforce Shortages Empowerment & Increasing Personal Responsibility

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Cash & Counseling Congressional Briefing “A State Perspective”

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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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