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NJ Enrollees Like “Cash and Counseling”

Experiences of 240 of the first clients in New Jersey’s Cash and Counseling Demonstration program are the subject of a new report available from Mathematica Policy Research, Inc. The report, currently available only in the largely-inaccessible PDF format, is available online at (titled “Cash and Counseling: Consumers’ Early Experiences in New Jersey. Part II: Uses of Cash and Satisfaction at Nine Months — Interim Memo”).

New Jersey’s Cash and Counseling program, one of several demonstration programs operating in the nation, is designed to provide cash grants to disabled enrollees to purchase their own personal assistance services. (A booklet about the program designed for its enrollees can be found at
AGING/CCDemo/ccbook/) The demonstration programs are being funded by the U.S. Department of Health and Human Services and the Robert Wood Johnson Foundation in an effort to “test... the use of a cash benefit to enhance Medicaid consumers’ ability to design PAS services that best meet their needs (while maintaining overall program budget neutrality).” More about Cash and
Counseling demonstration can be found at

A telephone survey conducted by Mathematica Policy Research, Inc. nine months after New Jersey Medicaid recipients applied to the program found that 70 percent were satisfied with it. Most enrollees hired family members to serve as attendants. The biggest complaint was over the fact that in some cases the monthly cash grant was delayed due to bureaucratic snafus.

Evaluations of the nation’s other demonstration Cash and Counseling programs, also from Mathematica and also in PDF format, are online at

For more on the general topic of consumer-directed long-term services, visit the reports website of The Office of Disability, Aging and Long-Term Care Policy (DALTCP), part of the office of the Assistant Secretary for Planning & Evaluation within the US Department of Health & Human Services. DALTCP is responsible for the development, coordination, analysis, research and evaluation of HHS policies and programs which support the independence, health and long-term care of persons with disabilities—children, working age adults, and older persons. The Office is also responsible for policy coordination and research to promote the economic and social well being of the elderly. A good list of reports is available at

This article was available from the government web site

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