Medicaid consumer direction of personal assistance services (CD-PAS) is a growing trend. Although overall enrollment in these programs is small, 42 states offered consumer direction in Medicaid in 2006. These programs allow Medicaid beneficiaries control over hiring, scheduling, training and paying of personal care attendants.

This report is based focus groups with enrollees in CD-PAS programs in the four states profiled: California, Colorado, New York and Virginia (abstract from: http://www.kff.org/medicaid/7757.cfm).