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This report presents data from a telephone survey of the administrators of assisted living facilities across the country. These facilities were selected from a national probability sample of all facilities that met the criteria for inclusion in the study. Thus, the findings are representative of the industry as a whole. As such, they represent the

As long-term care expenditures have risen, policymakers have sought ways to control costs while maintaining consumer satisfaction. Concurrently, there is increasing interest within the aging and disability communities in consumer-directed care. The Cash and Counseling Demonstration and Evaluation seeks to increase consumer direction and control co

As states seek to improve supportive services, policymakers need to know whether consumer-directed programs deliver quality care — that which satisfies consumers' preferences and does not harm their health. The need for evidence grows daily, as states respond to federal Systems Change grants and other initiatives spurred by the Supreme Court's 1

Recent research suggests that Florida's Cash and Counseling model-Consumer Directed Care (CDC)-increased the well-being of children with disabilities and their parents in Florida and that the Cash and Counseling programs in Arkansas, Florida, and New Jersey similarly increased the well-being of adults. The program also increased the likelihood th

This report examines the effects of the Cash and Counseling program in three states — Arkansas, Florida, and New Jersey — regarding how consumer direction affects the use and quality of both paid and unpaid personal care assistance received by consumers, as measured by consumers' satisfaction with care, the frequency of unmet needs, and the in

This report describes the implementation of consumer directed care by synthesizing information from in-person discussions with program staff, a mail survey of program consultants, telephone interviews with consumers in the treatment group, and program records. It discusses the program's goals and features, the ways beneficiaries managed their pro

Over the past decade and a half, a series of demonstrations prior to the National Long-Term Care Channeling Demonstration have been fielded to test some form of case managed, community-based long-term care. Fourteen community care demonstrations funded through Federal Government waivers and similar to Channeling were identified. This report presen

The Office of the Assistant Secretary for Planning and Evaluation sponsored an expert meeting to advise DALTCP on policy issues and available data related to several populations of persons with disabilities: working age adults, children, persons age 65 and older, and special populations (e.g., persons with developmental disabilities, persons with

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. Its intended audience is policymakers and others who wish to understand how Medicaid can be used — and is being used — to expand access to a broad range of home a