Address correspondence to Barbara R. Phillips, Ph.D., Veterans Health Administration, 520 Galer St., Unit 300, Seattle Washington 98109. Barbara Schneider, M.A., is retired and resides in Everson, PA.
Commonalities and Variations in the Cash and Counseling Programs across the Three Demonstration States
Article first published online: 3 JAN 2007
Health Services Research
Volume 42, Issue 1p2, pages 397–413, February 2007
How to Cite
Phillips, B. and Schneider, B. (2007), Commonalities and Variations in the Cash and Counseling Programs across the Three Demonstration States. Health Services Research, 42: 397–413. doi: 10.1111/j.1475-6773.2006.00677.x
- Issue published online: 3 JAN 2007
- Article first published online: 3 JAN 2007
- Cash and Counseling;
- consumer direction;
- long-term care
Objective. To describe the key features of the first three Cash and Counseling demonstration programs and identify those which the programs have in common and those on which they differ.
Study Setting. Demonstration Cash and Counseling programs in Arkansas, Florida, and New Jersey.
Data Sources. Interviews with program staff and program materials and discussion.
Methods. Description and comparison.
Principal Findings/Conclusion. The three Cash and Counseling demonstration programs have many common features; these arose because they were required to adhere to the basic tenets of the Cash and Counseling model and to federal regulations, to share the philosophy of consumer empowerment, and to work together to design their programs. However, their programs also differ substantially due to differences in state goals, Medicaid programs, and political environments. These variations must be taken into account to understand differences in the impact of the three programs.