Self-directed care affords consumers receiving Medicaid home- and community-based services (HCBS), or their representatives, the right to manage their services based on their needs and preferences. Medicaid self-directed care offers consumers employer and/or budget authority over their care. Employer authority allows consumers to hire, manage, and fire the individuals who provide their HCBS services; and budget authority allows consumers to decide how their HCBS funding or budget amount is spent for a given year. What are the benefits of this system? To answer that, it’s first important to note that the goal of the self . . .
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