![]() While early pilot programs focused on people with disabilities, the model – and its core values of autonomy and dignity – have since been applied to programs for older adults. According to the National Council on Disability, consideration of consumer-directed personal care options began in the late 1960s and 1970s with calls for increased autonomy and independence by and for people with disabilities. Medicaid-funded consumer direction- programs allow enrollees to directly hire people, including some family members, to provide personal care, such as bathing, dressing, and toileting. The increasing demand for home-based care is exacerbating underlying challenges, such as long-standing LTSS direct care workforce shortages and gaps in meeting the needs of communities of color and speakers of different languages.įindings suggest consumer-directed programs can improve quality of life and health outcomes and can help meet participant needs without increasing Medicaid fraud. A recent report suggests virtually all states have seen a significant drop in skilled nursing facility occupancy rates. IntroductionĬOVID-19 has upended states’ long-term services and supports (LTSS) systems and strained congregate care facilities. This report explores how Connecticut, Florida, and Virginia developed consumer-directed care programs to serve older adults and people with physical disabilities. ![]() ![]() States have the opportunity to use Medicaid to support enrollees with long-term care needs and their families by developing consumer direction programs that allow family members to be hired to provide care. Programs that incorporate family members who provide care can help support person-centered care for Medicaid enrollees and also help states address the demand for long-term services and supports. Individuals may hesitate about receiving care in congregate care settings, particularly during the COVID-19 pandemic, but many face home-based care service workforce shortages. Consumer Directed Personal Assistance Services (CDPAS) can be found here.Family members provide significant amounts of care to relatives with complex needs, including those who are Medicaid enrollees.The consumer or designee must also be responsible for recruiting, hiring, training, supervising and terminating caregivers, and must arrange for back–up coverage when necessary, arrange and coordinate other services and keep payroll records.Ĭlick here and go to Frequently Asked Questions for more information if you think you have an immediate need for Consumer Directed Personal Assistance Services and would like more information on how to get your eligibility processed more quickly for these services. Recipients must be able and willing to make informed choices regarding the management of the services they receive, or have a legal guardian or designated relative or other adult able and willing to help make informed choices. ![]()
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