MedCity News December 10, 2024
Maria Perrin

While enrollment in consumer direction programs has grown, more must be done to educate, amplify, and spread awareness to ensure that all eligible individuals learn about the benefits of this alternative to traditionally delivered agency and institutional care.

I’m often surprised by the lack of awareness of consumer-directed care, also known as self-direction. It’s not new. In the 1990s, the Robert Wood Johnson Foundation awarded grants to develop ‘self-determination’ programs in 19 states. These successful projects evolved further into Medicaid demonstration programs, and then in 2005, the Deficit Reduction Act authorized two more avenues for states to offer a consumer-directed option. Since then, consumer-directed care has steadily grown, with more than 1.5 million people having self-directed their long-term services and...

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