This brief is based on Mathematica's evaluation of Cash and Counseling, a three-state demonstration in which Medicaid enrollees eligible for personal assistance services and other paid help around the home and community get a monthly cash allowance to purchase these services and related goods, instead of obtaining them through a home care agency.
Office of Behavioral Health, Disability, and Aging Policy (BHDAP)
The Office of Behavioral Health, Disability, and Aging Policy (BHDAP) focuses on policies and programs that support the independence, productivity, health and well-being, and long-term care needs of people with disabilities, older adults, and people with mental and substance use disorders.
Note: BHDAP was previously known as the Office of Disability, Aging, and Long-Term Care Policy (DALTCP). Only our office name has changed, not our mission, portfolio, or policy focus.
The Division of Behavioral Health Policy is responsible for the analysis, coordination, research and evaluation of policies related to mental and substance use disorders, also referred to as behavioral health. The division is the focal point for policy development and analysis related to the financing, access/delivery, organization, and quality of services for people with mental and substance use disorders, including those supported or financed by Medicaid, Medicare, and the Substance Abuse and Mental Health Services Administration (SAMHSA).
The Division of Long-Term Services and Supports is responsible for the analysis, coordination, and research and evaluation of policies related to institutional and community-based long-term care and supportive services, including formal and informal caregiving. The Division is the focal point for policy development and analysis related to the financing, delivery, organization, and quality of long-term care services and supports, including those supported or financed by private insurers, Medicaid, Medicare, and the Administration for Community Living (ACL).
The Division of Disability and Aging Policy is responsible for policy and data development, coordination, research and evaluation of policies and programs focused on the functioning and well-being of persons with disabilities and older adults. The Division is the focal point for crosscutting disability and aging collaboration within the Department and across other federal agencies. Alzheimer’s disease and related dementias and intellectual and developmental disabilities, including Autism Spectrum Disorder, are notable areas of engagement and expertise.
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Advanced SearchHigh Service or High Privacy Assisted Living Facilities, Their Residents and Staff: Results from a National Survey
U.S. Department of Health and Human Services
Differences Among Services and Policies in High Privacy or High Service Assisted Living Facilities
The focus of this short analytic report differs in that it attempts to address, at least in an initial fashion, what types of assisted living facilities, among those in our sample, have characteristics that might be appealing to either consumers or policymakers focusing on consumers= needs.
Cash and Counseling: Consumer's Early Experiences in Arkansas
This paper describes the experiences of 194 early clients in the Arkansas Cash and Counseling Demonstration, IndependentChoices. The description is based on the clients' responses to a telephone survey conducted about nine months after they applied to enter the program and were randomly assigned to the demonstration's treatment group to receive a monthly cash allowance.
Understanding Medicaid Home and Community Services: A Primer
This Primer is designed to encourage use of the Medicaid program in a manner that minimizes reliance on institutions and maximizes community integration in a cost-effective manner.
The Diversity of Welfare Leavers
Women who have left TANF in three cities--Boston, Chicago, and San Antonio--have an average employment rate of 63% after leaving, a rate similar to figures found in studies of welfare leavers in many other states. But this average obscures a large amount of variation across different groups of women, some of whom have done much better than this and some of whom have done much worse.
Supportive Health Services Needs of Children with Disabilities
To sharpen the focus on the differential need of children with disabilities, this paper focuses on a subset of health-related services that are used almost exclusively by children with disabilities--supportive services. The basic finding is that policies focused on low-income children will reach the majority of children with disabilities who have unmet supportive service needs.