How Did Cash and Counseling Participants Spend their Budgets, and Why Does That Matter for CLASS?
This policy brief addresses some similarities between the Cash and Counseling (C&C) model and CLASS, including participant control over a cash benefit, the ability to develop an individualized spending plan, the ability to hire family members as workers, and the availability of a range of programmatic supports to help participants manage their responsibilities.Date Updated: 04/06/2011
Cash and Counseling (C&C) is one of the most flexible models of participant direction (also called consumer direction or self-direction) in personal assistance services (e.g., help with daily living activities such as dressing, eating, using the toilet, etc.). The model offers participants who have disabilities and are eligible for publicly-funded supports the authority to manage a personal assistance budget. Flexible spending accounts, which are integral to the C&C model, provide an individualized budget comparable in amount to what the individual would have received through state Medicaid services (less administrative costs). C&C participants develop a spending plan for administering the budget. Participants can hire, supervise, and dismiss their own workers, set the schedule to meet their own daily rhythms (including evenings or weekends), and pay their worker more or less wages depending…
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This policy brief provides background on the historical development of benefit eligibility triggers in the private long-term care insurance market. Understanding how these triggers came into being can provide important information to those charged with implementing the CLASS Plan.
This policy brief provides information about how long-term care insurers implement benefit eligibility triggers in the private insurance market. The way in which companies have operationalized benefit eligibility triggers can inform the development of regulations for the CLASS Plan.
This policy brief provides information on the benefit eligibility assessment process in the private long-term care insurance industry. It focuses on how long-term care insurers use the information in the adjudication process, who is involved in the process, and how activities of daily living and cognition are assessed.