Empowering Caregivers™ logo with Choices - Healing - Love

ResourcesChat - Community pageMessageboard Community pageSitemap

search engine by freefind
Caregiving Articles
Back to articles
Cash & Counseling: Consumer Choices, Family Reimbursements

Cash and Carry Programs are being piloted, demonstrated and accepted in Arkansas, Florida, Texas, New Jersey, Oregon and Colorado. HHS Secretary Tommy G. Thompson is slowly granting permissions to the states as they apply for this program.

Through the program, Medicaid recipients who also receive personal care assistance can choose to hire a family member to provide care. According to the Administration on Aging, here are the specifics of the program:

"Cash and counseling (C&C) is one of the ultimate forms of consumer direction in which consumers are given the option of receiving cash payments that they may use to purchase a variety of support services. Consumers may purchase personal care services from a home care agency, an adult day care center, a friend or a relative, or they may use the money to make home modifications or buy assistive devices that limit their future need for personal care. Along with the cash, consumers receive information, advice, and training on how to access and manage their own care.

Under the program, beneficiaries can receive the cash allowance that they receive from Medicaid to hire helpers directly - instead of relying on traditional services provided by agency workers. Beneficiaries can hire family members, friends and neighbors whom they trust -- rather than allowing strangers into their homes to assist with intimate personal care tasks. This often allows beneficiaries to more readily schedule assistance when they most need it, including evenings, nights, and weekends.

In addition, program participants can spend part of their budget on home modifications or assistive technologies that Medicaid otherwise would not cover -- and thereby reduce their dependence on human help. The program's flexibility enables beneficiaries and their families to choose the combination of goods and services that best suits their particular circumstances -- spending Medicaid dollars more wisely and reducing previously unmet personal assistance needs.

"Cash and counseling, or similar approaches, are being used by several European countries, including Holland, Germany, and Austria, and interest in the option is rising in this country because national and state government officials are looking for innovative and cost-effective approaches to meet the needs of a growing aged and disabled society. A number of states, including Michigan, Wisconsin, and Colorado, are currently using state funds to make C&C one component of their long-term care systems."

The demonstration program is funded through Robert Wood Johnson Foundation and the Office of the Assistant Secretary for Planning and Evaluation (ASPE), Department of Health and Human Services.

Try to keep up with what is happening in your state to see if you qualify. You can also check with the Centers for Medicare & Medicaid at: www.cms.gov Their toll free number is: 877-267-2323

For more information, contact:

Nat'l Program Office: Kevin J. Mahoney, Ph.D.
Program Director
University of Maryland Center on Aging
1240 HHP Building
College Park, MD 20742
(301) 405-2549

Arkansas: Suzanne Crisp, Assistant Director
Division of Aging and Adult Services
Department of Human Services
P.O. Box 1437, Slot 1412
Little Rock, AR 72203-1437
(501) 682-2441

Florida: Kerry Schoolfield, Director
Strategic Long-Term Planning
Florida Consumer-Directed Care
Department of Elder Affairs
4040 Esplanade Way
Building B, Suite 152
Tallahassee, FL 32399-7000
(904) 414-2087

New Jersey: William A.B. Ditto
Acting Assistant Director
Office of Disabled Affairs
Division of Medical Assistance and Health Services, CN-712
New Jersey Department of Human Services
Trenton, NJ 08625-0712
(609) 588-2622

New York: Ann Hallock, Project Manager
Cash and Counseling
Bureau of Program and Data Analysis
Office of Medicaid Management
New York State Department of Health
Room 2038, Corning Tower
Empire State Plaza
Albany, NY 12237
(518) 474-9265

Gail Mitchell
Empowering Caregivers

Ms. Mitchell is the President and Founder of NOFEC. Her full-time caregiving experience began in the early eighties when her husband was diagnosed with cancer. Later on she became the primary caregiver for her father, along with her mother who had become critically ill from burnout prior to her dadís passing. In recent years, she cared for several friends with AIDS while continuing to care for her mother and actively providing support, information, referrals and resources for caregivers.

Prior to founding NOFEC, she created the iVillageHealth Chat: Empowering Caregivers, which she hosted for over 5 years. Within a month of hosting she created Empowering Caregivers: www.care-givers.com in 1999 as a resource for caregivers around the globe. Over three million visitors have frequented the website.

Gail's leadership on the Internet and her success with Empowering Caregivers led her to found National Organization For Empowering Caregivers (NOFEC) INC in 2001.

She presents at national and international care-related conferences and programs and has been a keynote speaker for many programs as well.

Ms Mitchell has assisted thousands of caregivers online and offline in ways to empower themselves in their roles in caring for loved ones.

For a list of client and or her resume, please contact info@nofec.org

Gail's articles have been published in many venues nationally and in Canada.Presently, she is a member of American Society on Aging and National Quality Caregivers Coalition.

E-mail: info@care-givers.com
Web Site: http://www.care-givers.com

Related Articles By This Author
 "Live As If You Were To Die Tomorrow:Learn As If You Were To Live Forever"
 1999-2000 Directory of Prescription Drug Patient Assistance Programs
 2000 Directory of Prescription Drug Patient Assistance Programs
 A Lesson in Trust and Faith
 AXA Foundation Family Care Resource Connection
 Caregiver Burnout
 Carerecipient Profile For All Caregivers:
 Choosing A Caregiver/Home Care Aid
 Choosing A Nursing Home
 Clinical Trials for Medications, Procedures and More
 Coming Out Of Your Cocoon
 Communications With Your Loved One-Part II
 Communications With Your Loved One: Part 1
 Conscious Choices For Aging With Grace
 Coping With Difficult Parents
 Creating A Safe Home And Home Modification
 Creating Rituals During The Holidays
 Daily Resolutions Or New Years?
 Decisions On Placing A Loved One
 Directory Of Resources Related To Nursing Homes
 Discounted Prescription Cards
 Document Locator
 Emergency Information
 Empowering Caregivers
 Family Caregivers Are Given More Than They Can Handle
 Finding Money For The Care Your Loved One Needs
 For New Caregivers
 Getting Comfortable As A Caregiver In Your New Role
 Grandparent Caregivers: Grandparents Raising Children
 Grandparenting & Social Security
 Healing Myself Ė Reclaiming My Life
 Hiring Home Care On Your Own - Evaluation
 Home & Safetry - Home Modification Requiring Construction Changes
 Home & Safety - Medicines, Medical Equipment And Poisonous Products
 Home & Safety - Bedroom
 Home & Safety- Bathroom
 Home & Safety- Kitchen
 Home & Saftey - Throughout the Home
 Home & Saftey 0 Outside The Home
 Home Health Care Agency Evaluation
 How Aging & Caregiving Are Changing Our Lives
 Ideas For Mother
 Information On Document Lists You Will Need As A Caregiver
 KISS: Keep It Simple Silly
 Legal Terms And Medical Directives Terminology You Should Know About
 Let Your Voice Be Heard
 Let Your Voice Be Heard: The Caregivers Market Place
 Lobby Washington To Create A U.S. Dept of PeaceApril 6-8, 2003 Conference in D.C.
 Maintaining Independence For The Carerecipient And Yourself
 Mindfulness and Love In Your Role As A Caregiver
 More On Isolation And Your Return Into The Real World
 Moving Beyond Appearance
 Negative Or Positive Choices
 Nursing Home Evaluation Check List
 On Palliative Care & End-Of-Life Issues
 Our Beliefs are like Addictions
 Parents Who Were Brought Up During The Depression
 Prayer For A Loved One's Recovery To Know Avail
 Reaching Out For Support: Releasing Guilt Feelings Inside
 Seasons Greetings To Everyone
 Self Care
 Side Effects of New Medications
 Speaking Your Voice: Loud & Clear
 State Agencies On Aging
 State Ombudsmen
 Staying Informed And Making Informed Decisions
 Steps On Starting Your Own Caregiving Support Group
 Stress and Burnout
 Survey From Newsletter Subscribe 12/31/98
 The "Sandwiched Generation" Caregiver
 The Caregivers Market Place
 The Dali Lama in Central Park
 The Joy Of Reading Again Through Large Print Books And Audios
 The Loss Of My Pet Magi
 The Role Of Being A Caregiver Is No Accident
 The Values of the Internet for the Caregiver
 Thoughts and Prayers for Christmas and New Years
 Thoughts Of Peace From September 11, 2001
 Thoughts on War
 Treating Symptoms, Not The Causes
 Types Of Services Available For Children, Adults, And Elderly
 Yoga, Body, Mind And Spirit
 Your Thyroid

Top of page

Back to articles

Newsletter Resources Chat - Community page Messageboard Community page Sitemap

EMPOWERING CAREGIVERS™ is trademarked. All Information on this website is owned by Gail R. Mitchell. This includes but is not limited to the journal exercises, Newsletters and original articles, etc. Permission must be obtained from Gail R. Mitchell for any external use of this material.

© Copyright Gail.R. Mitchell. All rights reserved