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Uber and Self-Direction: Driving Employment, Community Living, and Social Connection

Recently, Palco collaborated with several influential partners for a speaking session at the HCBS Conference in Baltimore, Maryland. This session united these key stakeholders to tackle transportation challenges in self-directed care. Together, we explored innovative solutions for accessibility and independence.

Watch a recording of this powerful conversation below. Or, keep scrolling to read more about Palco and all things self-direction.


What is Self-Direction?

Self-direction means the participant decides who supports their long-term care and how those services are delivered. Self-direction has many names, and these names often vary by state. These names can include consumer-direction and self-determination.

With traditional services, the person receiving services doesn’t have much power over their services. They can’t recruit or train their staff, specify their salary and benefits, or set the work schedule. This is because of Medicaid and government regulations. All of these tasks are controlled by the agency and/or case manager.

With self-direction, the participant and/or their legal representative have more power and control. They handle the tasks that would be controlled by a case manager in a traditional service model (while staying within the Medicaid waiver guidelines/or their ongoing Medicaid budget.)


Who is Palco?

The Palco icon

Palco is a pioneer of financial management services (FMS) for self-direction across the US. We help you navigate enrollment in the program, process your payroll, and handle tax documents. Meanwhile, you get to care for your family member and be paid to do so. Currently, we serve tens of thousands of participants across the country.



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