Duh of the week.....
Participant-directed services give consumers greater control
A Medicaid demonstration project known as Cash and Counseling showed that programs can deliver services in a way that enhances individual choice and control. This approach had positive outcomes and led to broader adoption of participant-directed programs.
In these programs, consumers can hire and fire their own workers, schedule their hours and, in some cases, determine their rate of pay. Some programs allow consumers to manage their budgets (as determined by the program’s needs assessment). This budget authority gives much greater flexibility to program participants. For example, using funds to purchase a washer and dryer might allow someone with limited mobility to do their own laundry, if they can’t get to a laundromat.