Self-direction of home- and community-based services (HCBS) allows individuals to determine what mix of personal care services and supports works best for them within the parameters of their person-centered service plan. Many states implementing Medicaid managed long-term services and supports or other managed integrated care programs that provide HCBS are offering individuals the opportunity to self-direct their HCBS. Health plan case managers play a key role in implementing self-direction.
The webinars and accompanying resources in this curriculum provide an overview of self-direction, considerations for the design and implementation of a self-direction program, and best practices for oversight of a self-direction program in a managed care context. The curriculum also provides several tools to help case managers explain the self-direction option and the related responsibilities of individuals choosing this option. In addition, there is information for health plans to help individuals determine if the self-direction option is right for them.
- Module 3: Implementing Self-Direction in a Managed Care Context: Special Considerations
Slides | Recording (23 minutes)
- Module 4: Operating and Managing Self-Direction in a Managed Care Context
Slides | Recording (31 minutes)
Additional Curriculum Resources
- Permissible Goods and Services in a Self-Direction Program
- Individuals’ Rights and Responsibilities in a Self-Direction Program
- A Questionnaire to Assess Individuals’ Ability to Self-Direct Services
- Representatives’ Responsibilities in a Self-Direction Program
- A Questionnaire to Assess Potential Representatives in Self-Direction Programs
- Policies and Procedures Manual Topics for a Self-Direction Program
- Frequently Asked Questions about Self-Direction
- Roles and Responsibilities in a Self-Direction Program