Cash and Counseling Model
“Cash & Counseling helps consumers direct and manage their personal assistance services according to their own specific needs. Our goal is to expand this proven model to more states, allowing thousands more older adults and people with disabilities to have choice and control over the care they receive."

Program Overview
"Cash & Counseling offers Medicaid consumers who have disabilities more choices about how to get help at home. Specifically, it gives frail elders and adults with disabilities the option to manage a flexible budget and decide for themselves what mix of goods and services will best meet their personal care needs. Cash & Counseling participants may use their budgets to hire their own personal care aides as well as purchase items or services, including home modifications that help them live independently. The Cash & Counseling Vision Statement fully describes the essential components of the model."