Policy Trends and Policy Trade-offs in Consumer-Direction/Self-Direction

In this session, participants learn about the current trends in states toward implementing consumer-directed models in Medicaid waivers, state-funded programs, and Older Americans Act. Panelists will describe the different types of workers working in self-directed settings, their various needs, and how they are and will be impacted by these trends. Participants will also hear about the policy trade-offs, benefits, and costs of self-direction for individuals with disabilities and for workers. The audience will be engaged in discussion to exchange ideas and provide examples of strategies for balancing worker needs and self-direction, and highlight programs that have done a good job balancing.