The Case for Medicaid Self-Direction:
A White Paper on Research, Practice, and Policy Opportunities

Robert M. Gettings, Charles R. Moseley, EdD, and Nancy Thaler (2013) 

This report for the National Council on Disabilities traces the history of self-directed services, examines the concepts that under gird self-direction, reviews basic components, summarized findings from existing studies, explores the growing use of Medicaid managed care, and recommends strategies for improving the accessibility and quality of self-directed Medicaid services and supports.

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