Cash and Counseling enables Medicaid beneficiaries with chronic illnesses and disabilities to purchase needed personal assistance services with cash allowances in lieu of receiving traditional agency-delivered services. The result is greater choice and autonomy in obtaining required help. Early evaluation results show increased access and improved satisfaction for Cash and Counseling clients. New Jersey’s Cash and Counseling program, Personal Preference, has enrolled approximately 1,800 participants since it began in 1999. Lisa Mangieri and Dorothy Minor, despite having very different needs, both strongly prefer making their own decisions about not only the type of care they receive but who delivers it.

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