This session provided an overview of the self-directed home- and community-based services (HCBS) delivery model. The presentation began with a discussion of the required elements in self-direction and background on the model. Staff then presented on the roles of key actors in program administration. Through initial interviews with subject matter experts and a review of current literature, including federal guidance, staff identified the following key actors: the state, information and assistance support entities, financial management services agencies, managed care organizations, the beneficiary or representative, and the HCBS worker. This presentation concluded with Commissioner discussion around the self-directed HCBS model and its key players.
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Medicaid and CHIP Payment and Access Commission
