CHOICE SELECTION PERSONAL PREFERENCES OPTIONS.
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Transcript of CHOICE SELECTION PERSONAL PREFERENCES OPTIONS.
CHOICE
SELECTION
PERSONAL PREFERENCES
OPTIONS
Section 1915(c)Section 1915(c) of the Social Security Act (SSA) Signed
August 13, 1981
AAMERICANS MERICANS WITH WITH
DDISABILITIES ISABILITIES AACTCT1990
In 1999, HCFA revised its guidelines concerning provision of personal care services under the
Medicaid State Plan, Section 4480 of the State Medicaid Manual states:
“A state may employ a consumer–directed service delivery model to provide personal care services under the personal care optional benefit to individuals in need of personal assistance, including persons with cognitive impairments, who have the
ability and desire to manage their own care.
In such cases, the Medicaid beneficiary may
hire their own provider, train the provider according to personal
preferences, supervise and direct the provision of
personal care services and, if necessary, fire the provider.
The state Medicaid Agency maintains responsibility for ensuring the provider meets state provider qualifications…and for monitoring service delivery.
Where an individual does not have the ability or desire to manage their own care, the state may either provide personal care services without consumer direction or may permit family members or other individuals to direct the provider on behalf of the individual receiving services.”
Fulfilling America’s Promise to Fulfilling America’s Promise to Americans with DisabilitiesAmericans with Disabilities
The New Freedom InitiativeThe New Freedom Initiative2001
The New Freedom InitiativeThe New Freedom Initiative• Access to Assistive and Universally Designed Technology
• Expand Educational Opportunities
• Promote Homeownership
• Integrating Americans Integrating Americans with Disabilities into the with Disabilities into the
WorkforceWorkforce• Expand Transportation Options
• Promote Full Access Promote Full Access to Community Lifeto Community Life
www.whitehouse.gov/news/releases
The State assures that each individual found eligible for the waiver be given free choice of ALLALL qualified providers of EACHEACH service included in his or her written plan of care.
TEX
AS
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GIS
LATU
RE
1997 - 2005
VENDOR
FISCAL
INERMEDIARY
CONSUMECONSUME
R R
MANAGEDMANAGED VOUCHER
VOUCHER
STIPEND
CCONSUMER ONSUMER DDIRECTED IRECTED SERVICESSERVICES
VFIVFI
CDSCDS
From Vendor Fiscal Intermediary (VFI) to Consumer Directed
Services (CDS)
CCONSUMEONSUMER R
DDIRECTED IRECTED
SERVICESSERVICES
INDEPENDENCEINDEPENDENCE
SUPPORT &SUPPORT &ASSISTANCEASSISTANCE
RESOURCESRESOURCES
CCONSUMERONSUMER
DDIRECTEDIRECTED
SSERVICESERVICESC D S