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Does Consumer Direction Affect the Quality of Medicaid Personal Assistance in Arkansas?

March 1, 2003

The Cash and Counseling Demonstration is an innovative model of consumer direction and is the first to use a randomized design to compare care quality under agency- and consumer-directed approaches. This report examines the effect of Arkansas’ demonstration program (Independent Choices) on the quality of care.

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Key Takeaways

Cash and Counseling clients had improved satisfaction without compromising health, functioning, or self-care.
Cash and Counseling clients were satisfied with workers, reported enhanced quality of life and less unmet needs.
Both older adults and people with disabilities reported greater satisfaction with Cash and Counselling.

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