On May 22, 2013, the National Council on Disability released this report on Medicaid Self-Direction. The report traces the history of self-directed services in the United States and its emergence and subsequent growth within the Medicaid policy arena; examines the fundamental concepts that under gird a self-directed approach to organizing and delivering community-based long-term services and supports; reviews the basic components of self-directed services as spelled out in federal Medicaid policy; summarizes the findings and conclusions from existing studies of the costeffectiveness of self-directed services; explores the ramifications of the growing use of . . .
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