agency with choice

On December 12, the Centers for Medicare & Medicaid Services (CMS) presented guidance* to states to leverage worker registries to boost beneficiaries’ access to home- and community-based services (HCBS). While the American Rescue Plan Act (ARPA) helped HCBS programs tremendously, ARPA says that “states must use funds to implement or supplement activities to enhance, expand,…

Self-direction is a model of long-term care that helps people—of all ages with varying disabilities—live independent lives in their own homes. Self-direction began in the 1980’s during a movement to de-institutionalize people with disabilities from settings like nursing homes and hospitals and get them back into the community receiving their care. According to the AARP…