Disability and corporeal (im)mobility: how interstate variation in Medicaid impacts the cross-state plans and pursuits of personal care attendant service users.

CONCLUSION: Interstate variation in Medicaid PCA policy impedes program users' ability to pursue educational and occupational advancement, and leads to feelings of second-class citizenship. Policy changes should be explored to affirm the autonomy of Medicaid PCA service users. Implications for Rehabilitation  Interstate variation in Medicaid PCA services and cross-state moves   • Medicaid personal care assistance service users desire and pursue cross-state moves, especially when drawn by educational or employment opportunities.   • Interstate variation in Medicaid policy negatively impacts the ability for PCA service program users to pursue these moves due to gaps or delays in service access, creating inequity in opportunity and feelings of second-class citizenship.   • Individual users of Medicaid PCA services need information and services as they plan pursue cross-state moves.   • States and the Center of Medicare and Medicaid Services should offer guidance to support the independent living, educational, and economic goals of users of PCA services who desire cross-state moves. PMID: 29962244 [PubMed - as supplied by publisher]
Source: Disability and Rehabilitation - Category: Rehabilitation Authors: Tags: Disabil Rehabil Source Type: research