Who is Eligible for IndependentChoices ?

1. Who is Eligible for IndependentChoices? • Be enrolled in a Medicaid category that covers personal care • Be age 18 or older • Be in need of personal assistance services • Understand and accept the rights, risks, and responsibilities of directing your own care, or appoint a Decision-Making Partner to do so

2. Benefits of Participant Direction • Offers more control, more flexibility, and more independence to people who receive personal assistance services at home • Control – participants decide what services are needed, who will perform the service, when and how the services are provided • Flexibility – participants can purchase items they really need, when they need them • Independence – participants who need daily assistance maintain their independence at home

3. IndependentChoicesElements of Participant Direction • Person-driven assessment • Option to use a representative • Transparent and equitable individual budget • Support broker/consultant services • Financial management services • Design of a spending plan • Ability to hire workers and purchase goods and services • Participant-driven quality management system • Emergency back-up plan

4. Traditional versus Participant-Directed Services Traditional Services Participant-Directed Services

5. Traditional Services Consumer-Directed Services Shift in Participant Responsibilities

6. Shift in Support System