Self-Directed Services (Maryland)

This document highlights relevant information to consider when deciding if self-directed services are or are not a good option for an individual with a disability. The location and contact information for the Self-direction Regional Coordinators in Maryland is also listed, as well as a form for requesting self-directed services.

Utah Medicaid Provider Manual

This provider manual describes the Community Supports Waiver in Utah for individuals with intellectual disabilities. The State of Utah has provided Medicaid-reimbursed home- and community-based waiver services to individuals with intellectual disabilities and other related
conditions since July 1, 1987.

Table of Contents

  1. General Policy
  2. Service Availability
  3. Provider Participation
  4. SMA Prior Authorization of Waiver Services
  5. Support Coordination
  6. Self-Administered Services
  7. Waiver Covers Services Rate Setting Methodology
  8. Service Procedure Codes
  9. Incident Reporting Protocol

West Virginia’s Intellectual and Developmental Disabilities Waiver Brochure

This brochure summarizes the West Virginia Home- and Community-Based Program for the I/DD Waiver. The brochure describes the I/DD Waiver, eligibility requirement, how to apply, and a list of the services that are included:

  • Crisis Services
  • Dietary Therapy
  • Electronic Monitoring
  • Facility-Based Day Habilitation
  • Job Development
  • Occupational Therapy
  • Person Centered Support
  • Physical Therapy
  • Pre-Vocational Training
  • Professional Behavioral Support
  • Respite
  • Service Coordination
  • Skilled Nursing
  • Speech Therapy
  • Supported Employment

APS Healthcare manages the program and should be contacted for additional information.

Utah Fact Sheet for People with Disabilities

A summary of information for individuals with a disability in Utah is available in this fact sheet compilation on the following agencies:

  1. Division of Services for People with Disabilities
  2. Division of Services for the Blind and Visually Impaired
  3. Choose To Work program
  4. Tri-County Independent Living Center
  5. Utah Department of Workforce Services

Frequently Asked Questions: Georgia Independence Plus Initiative

These FAQs describe self-determination, self-directed service delivery, and how the Georgia Independence Plus Initiative is involved in offering self-directed services. Georgia’s Department of Human Resources and Department of Community Health amended Home- and Community-Based Waivers for people with disabilities and older adults to offer self-direction options.

Self-Direction in New York: A Practical Guide for Families

This guide from the New York Self-Determination Coalition is for families who are interested in using Self-Directed Services for their child with developmental disabilities. Specific sections offer opinions about the implications of current policies and practices.

Win-Win for Self-Direction: Maximizing Participant Choice and Maintaining Program Integrity

Presented at the HCBS Conference, this presentation explores natural tension points between Participant authority and service integrity. It reviews the design and management of the Virginia and Oklahoma self-directed service options supporting independence, choice and control. This resource also examines a variety of financial management service provider supports that reinforce program quality and integrity.

State of Missouri: MoHealthNet Developmental Disabilities Waivers Manual

The Missouri Department of Mental Health’s Division of Developmental Disabilities (Division of DD) administers four Medicaid Home- and Community-Based Services (HCBS) Waiver programs for individuals
with developmental disabilities. The four waivers are:

  1. Comprehensive Waiver
  2. Missouri Children with Developmental Disabilities Waiver (MOCDD or Lopez Waiver)
  3. Community Support Waiver
  4. Partnership for Hope Waiver (PfH)

Under HCBS waivers, a state may use Medicaid funding for home- and community-based services provided only to a target group of people who have I/DD and whose care needs would otherwise require services in an institution. The Division of DD uses general revenue funds and local county dollars to match federal dollars to pay for HCBS waiver services.