Medicaid Program; Self-Directed Personal Assistance Services Program State Plan Option (Cash and Counseling), Final Rule

This final rule provides guidance to states that want to administer self-directed personal assistance services through their state plans, as authorized by the Deficit Reduction Act of 2005. The state plan option allows beneficiaries, through an approved self-directed services plan and budget, to purchase personal assistance services. The rule also provides guidance to ensure beneficiary health and welfare and financial accountability of the state plan option . . .