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The New Freedom Commission on Mental Health identified self-directed care as one service innovation that could create a more consumer- and family oriented mental health system. Four years later, there are still fewer than 400 consumers in five states accessing self-directed care in the public mental health system. This Open Forum identifies three main barriers to explain this lack of progress. The abstract and article are available for download here.

This letter provides clarification on the receipt of Federal funds under the SSA Ticket to Work program and encourages utilization of the program’s flexible funding offers. Policy clarifications regarding State Medicaid providers’ acceptance and the treatment of SSA ticket payments are included, as well as clarification regarding the prohibition of using Ticket Outcome and Milestone payments as the State share of financial participation.

The three presentations provided here were part of the 2007 Government and Vendor Fiscal/Employer Agent Workshop. The presentations focus on current challenges and promising practices related to the provision of workers’ compensation insurance for Massachusetts, Illinois, and New Mexico programs.

This RFP is for the performance of services to ALTSD for New Mexico's self-directed waiver program, Mi Via.

Two presentations are included here: "It is so Ordered: Modernizing Michigan Medicaid Long Term Care" and "Principles and Practices of Person-Centered Planning: Detroit Area Agency on Aging".

This study of Consumer Directed Care, Florida's Cash & Counseling Demonstration program for children, examines the ways in which consumer direction affects the cost of Medicaid personal care services, as well as the cost and use of other Medicaid services. Outcome measures were drawn from Medicaid claims data for 1,002 children for the first two years post-enrollment.

A summary from the June 2001 symposium titled, “Independent Choices: A National Symposium on Consumer-Direction and Self-Determination for the Elderly and Persons with Disabilities”. Major themes and outcomes are highlighted based on the dialogue from the various speakers including policymakers, program administrators, consumer advocates, service producers, and researchers.

A presentation that outlines the goals of Pennsylvania's Cash & Counseling project. A presentation and handout on Frequently Asked Questions specific for this state are also provided.

This paper focuses on the first three stages of the CCDE: Choosing states and the evaluator, preparation, and implementation/data gathering. This paper is part of Consumer Voice and Choice in Long-Term Care, a book inspired by a Robert Wood Johnson Foundation- and Scripps Gerontology Center- supported conference.

A description of Florida's Cash & Counseling program implemented under an Independence Plus 1115 waiver amendment including information on organization and structural administration, reporting items, and benefits.