Minnesota Focuses on Attracting Older Adults to Participant-Directed Services in Medicaid

Cash & Counseling Sidebar

Dates of Project: October 2004 to December 2007

Field of Work: Fostering the development of participant-directed home and community-based services for people with chronic disabilities

Synopsis of the Work: The Cash & Counseling national program introduced or expanded participant-directed personal assistance services for frail older adults with disabilities and other people with disabilities in Minnesota and the Medicaid programs of 14 other states. Cash and counseling, now called participant direction, is an approach to long-term care personal assistance services in which the government gives people cash allowances to pay for the services and goods they feel would best meet their personal care needs and counseling about managing their services.

The program was a joint venture between the Robert Wood Johnson Foundation and the U.S. Department of Health and Human Services’ Office of the Assistant Secretary for Planning and Evaluation.

Minnesota focused on increasing enrollment in Consumer Directed Community Supports, its participant-directed program, among older adults, and on building the infrastructure to support this service option. This sidebar includes challenges Minnesota faced and results of the work, which include enthusiasm by the older adult participants and their families about Consumer Directed Community Supports.

Minnesota is very much committed to self-directed services. The work we did as part of Cash & Counseling was one piece in our effort to build this model into our system. It helped to give us momentum on the aging side.”—Jane E. Vujovich, State Program Administrator, Principal/Aging at the Minnesota Department of Human Services.

Most Requested