The NRCPDS builds on lessons learned as the National Program Office for the Cash & Counseling grant program—a successful decade-long effort to introduce participant-directed programs into 15 state Medicaid programs.

Cash & Counseling gives frail elders and adults and children 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 budget to hire their own personal care workers as well as purchase items or make home modifications that help them live independently.
Looking for Tools & Resources on Cash & Counseling?
All C&C Tools and Resources are now available on HCBS.org [Offsite Link]
Check out our theme page on HCBS.org [Offsite Link]
View the Handbook on Self Direction [Offsite Link]
Want to find data from the Original Demonstration? Check out our data and
anaylsis tools [Offsite Link].
This page will be updated as we begin the process of transfering C&C content to this website.