Comparing Outcomes of Persons Choosing Consumer-Directed or Agency-Directed Personal Assistance Services

Kyung Mee Kim; Fox, Michael H.; White, Glen W.
April 2006
Journal of Rehabilitation;Apr-Jun2006, Vol. 72 Issue 2, p32
Academic Journal
This study examines health service use and satisfaction with consumer-directed and agency directed personal assistance services for persons enrolled in the Kansas Medicaid Physical Disability Waiver. Findings suggest that health care costs for people using consumer- directed care are slightly lower than for people using agency-directed care. At the same time, people using consumer-directed care appear to be more satisfied with their personal assistance services. The study points to the positive benefits of consumer choice among persons with disabilities enrolled in Medicaid home and community waiver programs. Recognizing the value of both self and agency directed approaches to receiving personal assistance services can help rehabilitation counselors determine which approach may be most beneficial to meeting individual consumers' needs.


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