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Tritz, K. (2004, February). Long-term care: Consumer directed services under Medicaid. Congressional Research Service Report, Order Code: RL32219.

Abstract

The Congressional Research Service, in a report authored by analyst Karen Tritz, provides an overview of experimental programs for disabled Medicaid beneficiaries that allow them to manage and direct their own community-based and home services. Tritz uses the well-known Cash and Counseling Demonstration as a model to illustrate recent research and development initiatives undertaken by the states. Introduced in Arkansas, Florida, and New Jersey, the demonstration lets certain elderly and disabled beneficiaries choose and purchase certain services from the caregivers of their choice. Preliminary findings from Arkansas’ program find increased consumer satisfaction and a reduction in unmet needs for personal care. This report explores issues for other states considering implementing similar programs. The link to this report is provided by the Galen Institute.

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Received permission from the Galen Institute at galen@galen.org.

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