The relationship of personal assistance service utilization to other Medicaid payments among working-age adults with disabilities

UMMS Affiliation

Department of Psychiatry, Center for Mental Health Services Research; Center for Health Policy and Research; Department of Family Medicine and Community Health

Publication Date


Document Type



*Activities of Daily Living; Adolescent; Adult; *Disabled Persons; Female; Home Health Aides; Humans; Male; Medicaid; Middle Aged; Retrospective Studies; United States; Young Adult


Health Services Research | Mental and Social Health | Psychiatric and Mental Health | Psychiatry | Psychiatry and Psychology


This study examined changes in Medicaid provider payments prior to and following approval for personal assistance services (PAS) among 471 PAS users compared to 295 nonusers who qualified for but did not use PAS, adjusting for differences between users and nonusers using propensity scores. PAS users showed a significantly greater increase in total monthly payments from pre- to post-PAS approval compared to nonusers (35% vs. -9) due to high average monthly payments for PAS ($1325). However, users showed a decrease in non-PAS payments compared to nonusers (1%-9% vs. -9%), with significant decreases in payments for both acute/rehabilitation hospitalizations and for nursing home/other long-term residential stays among users. While costly, savings in other areas may help reduce the net cost of PAS.

DOI of Published Version



Home Health Care Serv Q. 2008;27(4):280-98. Link to article on publisher's site

Journal/Book/Conference Title

Home health care services quarterly

Related Resources

Link to Article in PubMed