Disability

This paper describes the findings from nine Case Study states. These case studies were conducted: (1) To examine early implementation experience among the states in order to gain an understanding of the programmatic, fiscal, and political context in which design decisions were made.

"Consumer-direction" is a philosophy and orientation to the delivery of home and community-based long-term care that puts informed consumers and their families in the driver's seat with respect to making choices about how best to meet their disability-related supportive service needs.

This report is intended to provide policymakers with critical information on prescription coverage, use and cost for both younger and older disabled Medicare beneficiaries using data from the 1995-1998 Medicare Current Beneficiary Surveys. [27 PDF pages]

This report presents a summary of major findings and outcomes from the dialogues that took place at "Independent Choices: A National Symposium on Consumer-Direction and Self-Determination for the Elderly and Persons with Disabilities" held in Washington, DC in June 2001.

U.S. Department of Health and Human Services

This paper first summarizes programs that provide support during the school-to-work transition period, and how they have evolved in recent years. It then presents findings from focus groups conducted with individuals who acquired a significant disability during childhood or prior to gaining significant employment experience and who subsequently achieved a measure of employment success.

The Lewin Group, Inc. Berkeley Policy Associates, Cornell University

This package--distributed at a national conference held at the Loews L'Enfant Plaza Hotel, Washington, D.C. on June 10-12, 2001--was prepared by the Office of Disability, Aging and Long-Term Care Policy (DALTCP) with the U.S. Department of Health and Human Services (HHS) under Contract #HHS-100-97-0008.

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.

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.