November 22, 2021

A new report (from ASD member, Consumer Directed Personal Assistance Association of New York State) indicates a significant percentage of vulnerable people are fighting to maintain their at-home care workers, with many losing the battle... read more

November 17, 2021

More than 500,000 caregivers in California will each receive a $500 bonus from the state as soon as January, as it tries to retain workers in a sector long hampered by low wages and high turnover rates. Read the full article... read more

November 15, 2021

Southeast Alaska Independent Living (SAIL) is offering a program in which Veterans can choose their own caretakers. It also allows those seniors to continue living at home, instead of an assisted living facility. Read the full article... read more

November 15, 2021

The New York State Department of Health is attempting to rein in a program that has grown popular with people with long-term physical and mental disabilities that enables them to choose their own caregivers. Read the full article... read more

November 12, 2021

When 2020 began, local residents Lynn Weidner and Brandon Kingsmore were just beginning to advocate for better conditions and wages for home care workers; an issue that is near and dear to them. Nearly two years later, their advocacy work has... read more

November 10, 2021

The Veteran-Directed Care program gives veterans with a high need of care more control over their own affairs. According to one veteran in the program, “Veteran’s disability puts a huge burden on families. This program, by paying my partner, and... read more

November 4, 2021

After several failed negotiating attempts over the past four years, the county of Lake has finalized a new contract with the In-Home Supportive Services (IHSS) workers’ union. IHSS workers will see their base wages rise by $0.65 an hour... read more

October 28, 2021

Marissa is a 32-year old woman with Down Syndrome living in Utah who is in a self-direction program. She was able to hire her mom, Kim, to provide her care for the first time during the pandemic. According to Kim, “It was stressful long before... read more

October 26, 2021

The demand for home health care has been growing in the past few years, and many providers have struggled to find the workers to meet it. Staffing shortages in home health, like many areas across the healthcare industry, have worsened during the... read more

October 19, 2021

Among the possible items to be included in President Joe Biden's caregiving plan, part of a multi-trillion dollar social spending plan under consideration in Congress, is an expansion of Medicaid eligibility and funding to improve states' in-home... read more

October 19, 2021

The New York & Michigan Solutions Journalism Collaborative, an endeavor involving a few dozen news organizations including the Detroit Free Press and Rochester Democrat and Chronicle, has vetted some of the solutions and shortcomings in the... read more

October 8, 2021

Representatives of the home health care industry are worried that the new New York state vaccine mandate will prompt thousands of workers to quit their jobs, curtailing care for patients who are recovering from hospital stays or who rely on long-... read more

October 7, 2021

Some 250,000 home health care workers must get the coronavirus vaccine by Friday in New York, but tens of thousands of them have yet to receive it (and consumer-directed workers are exempt). Read the full article... read more

October 2, 2021

U.S. Senator Kirsten Gillibrand (D-NY) gathered with advocates from the Southern Tier Independence Center in Binghamton on Friday to push for further investment in home health care. “Howard Struble, a Johnson City resident, said consumer-directed... read more

October 2, 2021

Personal care assistant (PCA) workers in Minnesota will see higher wages and other new benefits this month. The statewide minimum wage for PCAs rises from $13.25 to $14.40 per hour effective Oct. 1, then increases again to $15.25 on July 1, 2022... read more

September 28, 2021

According to Maggie Hoffman, an Applied Self-Direction member and parent advocate, “My adult son, who has disabilities, cannot live the life he deserves because so little support exists for people like him. This legislation signals a commitment... read more

September 27, 2021

The senator talks about how home-based disability care helped her family and why it is important for seniors and people with disabilities to have a voice. From the article, “Self-directed care is one avenue for family caregivers to be paid for... read more

September 22, 2021

Home care workers represent 53 percent of the workforce supporting seniors and people with disabilities, but the majority of them (including many self-directed workers) are not impacted by Biden’s vaccine mandates. Read the full article... read more

September 16, 2021

The state Agency for Persons with Disabilities submitted an ambitious legislative budget request calling for more than $25 million in additional funding to reduce the lengthy waitlist for the Medicaid IBudget program (which includes self-... read more

September 15, 2021

This article highlights the top legislation under consideration by Congress that, if passed, could significantly impact long-term care delivery, including the proposal to allocate extra funds for states implementing self-direction programs as... read more

September 10, 2021

Because Tennessee has never increased the reimbursement rate for home care providers since the program began over 11 years ago, the state’s CHOICES program (which includes self-direction) is at great risk. Read the full article... read more

September 7, 2021

This article looks at home care workforce trends, including the projected size of the Medicaid self-directed workforce. Read the full article... read more

September 1, 2021

All staff at rest homes, assisted living residences and hospices, as well as workers providing in-home, direct-care services (including consumer-directed care workers), may soon be required to be vaccinated against COVID-19 in Massachusetts, Gov... read more

August 18, 2021

Nicole LeBlanc, the Self-Advocate Advisor at TASH, argues in this opinion piece for the expansion of home and community-based services. Specifically she states, “When I lived in VT and got HCBS services, I self-directed my waiver and found self-... read more

August 13, 2021

The passing of the budget bill during Virginia’s special legislative session this month will bring over $3.1 billion in federal American Rescue Plan Act (ARPA) funds to the Commonwealth over the next year (including funding to increase pay for... read more

August 13, 2021

This case study outlines the unique impact of self-direction in Wyoming and other rural and frontier areas around the country. Read the full case study... read more

August 11, 2021

For seniors and people with disabilities, living independently comes with its challenges but disability rights advocates are fearful that without improvements to in-home support services (a self-direction program in California), many of San Mateo... read more

August 6, 2021

These women care for their paralyzed partners full time. Most states refuse to pay them. Read the full article here... read more

August 4, 2021

This report summarizes findings from the recent audit of the Veteran-Directed Care Program by the VA Office of Inspector General (OIG) and their recommendations for program improvements. Read the full article... read more

August 2, 2021

As states roll out their electronic visit verification (EVV) apps, patients and home caregivers are facing hurdles. This podcast specifically refers to the challenges of EVV rollout in self-direction programs. Listen to the podcast ... read more

July 28, 2021

This article explores the stories of multiple families that include children with complex health needs who are encouraging legislators to fully fund the infrastructure bill, a federal package that includes $400 billion to bolster home and... read more

July 28, 2021

Electronic visit verification systems make homecare more difficult, trap people with disabilities, and cost more than paper timesheets. So why are they rolling out across the country? This article details the unique challenges of implementing EVV... read more

July 27, 2021

An idea that came out of the COVID-19 pandemic has helped hundreds of families with a loved one who has disabilities, but now is in danger of running out of funding. "Caregiver compensation," which provides a small amount of money for a family... read more

July 23, 2021

Caregivers and family of those with disabilities are worried the Maryland Department of Health may be about to end a provision early that gives them more flexibility in how services are billed for and delivered during the coronavirus pandemic.... read more

July 23, 2021

Research shows that fraud occurs in self-direction at about the rate of traditional services, with lower incidences of fraud in programs with mature FMS. A New Bedford man who receives care through MassHealth’s personal care attendant (PCA)... read more

July 20, 2021

Funding for in-home personal care for aging Coloradans and people with disabilities would jump for three years under American Rescue Plan spending, including funding to launch “new systems allowing caretaking families to directly hire their own... read more

July 13, 2021

Gov. Ron DeSantis’ administration is asking the federal government for an additional $1.1 billion in federal Medicaid dollars over the next two years to bolster access to home and community-based programs (including self-direction) and... read more

July 4, 2021

This opinion piece, written by a family member and self-directed worker, argues for increased wages and support for direct care workers.  Read the full article... read more

June 29, 2021

The CEO of Granite State Independent Living in New Hampshire and Applied Self-Direction member, Deb Ritcey, outlines the critical assistance for the disability community included in the state’s newly approved budget. Highlights include and invest... read more

June 25, 2021

Senate Democrats recently introduced a bill intended to enact President Biden’s promised $400 billion for in-home disability and elder care, known as the Better Care Better Jobs Act. Democratic Senate staff and advocates spent weeks attempting to... read more

June 23, 2021

Senate Democrats will release legislation as soon as Thursday to meet President Joe Biden‘s promise to expand in-home care for the elderly and disabled while boosting caregivers’ wages and unionizing opportunities, according to a draft bill... read more

June 23, 2021

The United States Senate Special Committee on Aging recently released a report written by Ranking Member Tim Scott of South Carolina, Expanding Opportunities for Older Americans: Self-Directed Home and Community Based Services. The... read more

June 18, 2021

Columnist Mike Ervin, aka the ‘Smart Ass Cripple,’ argues that the pandemic has made clear that people in nursing homes are extremely vulnerable and that something needs to be done about it. According to Ervin, “I recruit, hire, train, and... read more

June 17, 2021

Millions of people in the United States provide essential care for children, aging parents, or loved ones with disabilities. It shouldn’t be this hard to make it work. An ASD Program Member is quoted as follows, ““Paying family members is a huge... read more

June 17, 2021

Research shows that fraud occurs in self-direction at about the rate of traditional services, with lower incidences of fraud in programs with mature FMS. A Florida woman has been arrested on allegations that she stole $180,000 from Medicaid over... read more

June 11, 2021

A closer look at the direct care crisis in Michigan, including mention of MI Choice, a self-direction program, that provides home and community-based services for about 15,000 Medicaid beneficiaries each year. The program has a waiting list of 1,... read more

June 9, 2021

An opinion piece from a local woman who volunteers with Friendly Visitors. One woman she visits has been without a worker for two months in the In-Home Supportive Services (a self-direction program). The author argues that better pay... read more

June 7, 2021

As a post-pandemic world nears, a new question emerges: What can be done to safeguard long-term care before the next public health emergency? With home and community-based services (HCBS), people can remain in their own homes and hire caregivers... read more

June 5, 2021

A1 Case Management and reSOARces, a companion nonprofit organization that is built upon the basis of a self-directed model, which involves people with disabilities and special needs choosing their caregivers, have been feeling the impacts of... read more

June 4, 2021

Written by experts who played a key part in the growth, evaluation, and dissemination of this revolutionary approach, this book describes the development of the self-direction movement through the authors' personal accounts. Also included are... read more

May 31, 2021

This story takes a closer look at one mother’s struggle to recruit personal care workers to assist her daughter with physical and developmental disabilities in Tennessee. While they would like the option to self-direct via the state’s Katie... read more

May 28, 2021

The author argues that COVID-19 exposed the profound challenges that long-term care providers face in Ohio and nationwide. One proposed solution is for the state to invest in home and community-based services programs in the state, such as... read more

May 20, 2021

Having caregivers come and go is a problem for many disabled people, including those who serve as the employer. Recognizing that, the Biden Administration has proposed a $400 billion infusion of federal Medicaid cash to stem a nationwide shortage... read more

May 19, 2021

This article provides an introduction to self-direction, the opportunity to pay family caregivers, and how to get involved.  Read the full article... read more

May 18, 2021

Covid has pushed state health agencies to use Medicaid in ways that would never have been imagined before. With one in five Americans saying they are unable to afford healthcare, how are state governments using this historic moment to expand... read more

May 17, 2021

This opinion piece comes from the perspective of a mother who is paid as a family caregiver. She makes the case that home care workers should receive better compensation and benefits. Read the full article... read more

May 11, 2021

A sibling, who serves as a paid family caregiver for her brother, comments on the inadequacy of personal care worker wages in Pennsylvania and nationwide. The author points to the American Jobs Plan as a potential avenue to invest in increased... read more

May 4, 2021

New Jersey’s new state budget proposal includes wage increases for workers who provide critical care for individuals with disabilities, older residents, Medicaid beneficiaries and children. $157,000 will support wage increases in the Division of... read more

April 30, 2021

This article presents the new duties needed to help participants self-direct. Whether states assign these additional tasks to care managers or create a new class of support brokers to do this work, the job of the care manager changes. Examples... read more

April 29, 2021

The pandemic created new urgency around efforts to improve conditions for New York State’s beleaguered home care workers, including ongoing efforts to increase funding and worker wages for the Consumer-Directed Personal Assistance program. Read... read more

April 28, 2021

Florida lawmakers have agreed to spend an additional $95 million a year to provide more people with intellectual and developmental disabilities access to services they need to live in their communities and out of institutions via the iBudget... read more

April 26, 2021

This article provides a comprehensive overview of the consumer directed model, including commentary from Denise DiNoto of Consumer Directed Choices (an Applied Self-Direction member) on her own experience self-directing. According to Denise, “I... read more

April 21, 2021

We are immensely thrilled to announce the IRS has formally approved the temporary use of electronic signatures on a number of tax forms signed and postmarked on or after August 28, 2020, including Form 2678, Employer/Payer... read more

April 16, 2021

One family’s story about the transformative impact of self-directing via the Veteran Directed Care program for Veteran Ken. On what it meant to begin self-directing, “It made a great change. It was like someone switching a switch. And we went... read more

April 15, 2021

An introduction to the various self-direction program options available that allow paying family caregivers via Medicaid. Read the full article... read more

April 15, 2021

Another feature on Veteran Ken’s experience with Veteran-Directed Care, including a video highlighting his story. See the full story here... read more

April 12, 2021

States have the opportunity to use Medicaid to support enrollees with long-term care needs and their families by developing consumer direction programs that allow family members to be hired to provide care. This report explores how Connecticut,... read more

April 12, 2021

Effective July 1, 2021, Virginia joins the District of Columbia and many other states with paid leave for designated workers (Virginia’s Paid Sick Leave Law), home health workers in this case (including self-directed workers). Read the full... read more

April 11, 2021

This article highlights MI Choice, a self-directed... read more

April 9, 2021

The Hill published an op-ed by ASD's Kate Murray, American Rescue Plan can give disabled adults freedom of choice for care. The piece advocates for states to consider using their enhanced HCBS... read more

April 8, 2021

This article takes a closer look at the potential impact of the proposed $400 billion for HCBS included in Biden’s... read more

April 1, 2021

The 2021 Self-Direction Virtual Conference Series will include two different sessions on self-direction around the world. (Can you tell we miss traveling??) 

On Wednesday, May 5th, Lynn Breedlove, from the Wisconsin Long-Term Care... read more

March 30, 2021

The author of this opinion piece opposes proposed budget cuts to the Consumer Directed Services personal care program in Missouri. View the full article here

March 30, 2021

What is the Self-Direction Conference without every Financial Management Services (FMS) providers’ favorite session, The FUNdamentals of Fiscal/... read more

March 29, 2021

Under a policy pushed by Gov. Andrew M. Cuomo, the administration of a popular self-direction program that allows Medicaid recipients to receive at-home health care for loved ones was interrupted for more than 100,000 New Yorkers. Now, Democrats... read more

March 25, 2021

Employees of In-Home Support Services (a self-direction program in California) participated in a day of action calling on President Biden and members of Congress to fulfill the promise of the Build Back Better Plan and commit $450 billion to the... read more

March 25, 2021

Gabriela Amari, a participant in New York’s Consumer Directed Personal Assistance program, powerfully makes the case that the state should invest in self-direction (rather than pouring more money into nursing homes) in this opinion piece.  View... read more

March 24, 2021

We are excited to announce our first-ever Self-Direction Virtual Conference Series this spring! This past year has underscored the critical importance of... read more

March 24, 2021

Following the passage of new legislation, veterans enrolled in the Veteran Directed Care program and their spouses are now eligible to receive the COVID-19 vaccine through the VA health system. View the full article... read more

March 23, 2021

Missouri’s governor has made two recommendations for budget cuts to the state's consumer directed services program. This program currently serves more than 40,000 Missourians. Advocates are fighting back against the proposed cuts. View the full... read more

March 22, 2021

Further coverage of proposed budget cuts to Missouri’s consumer direction program - and the advocates trying to prevent the cuts.  View the full article... read more

March 18, 2021

Should San Diegans who provide home care services to the elderly and others get at least the minimum wage? So posits an audit of In-Home Supportive Services (a self-direction program) by California State Auditor Elaine Howle, which charges... read more

March 11, 2021

In the ongoing negotiations over New York's proposed $193 billion budget, several lawmakers in both legislative chambers are rallying behind a measure that would provide $1.3 billion in new funding to substantially raise the pay of home-care... read more

March 10, 2021

Wisconsin is celebrating a major milestone. On February 28, 2021, a 40-year-old individual with a physical disability from Adams County was referred to IRIS (Include, Respect, I Self-Direct), Wisconsin’s self-directed long-term care program. This... read more

March 7, 2021

A proposed collective bargaining agreement in Minnesota would raise the minimum wage, increase the number of PTO days, and increase the number of paid holidays for direct care workers. Andre Best of Best Home Care (an FMS member) comments on the... read more

March 2, 2021

Auburn Pub published a commentary on the direct care workforce... read more

February 26, 2021

A commentary critiquing New York’s Governor Cuomo on his handling of... read more

February 26, 2021

New proposed state legislation, sponsored by Republican State Senator James Setteimeyer, in Nevada would make self-directed services more widely available in the state. View the full story... read more

February 25, 2021

The Virginia Senate narrowly passed a bill mandating paid sick leave for home health care workers, including consumer-directed workers, who care for Medicaid recipients after severely limiting the scope of which essential workers would be... read more

February 22, 2021

On Jan. 27, 2021, the New York State Department of Health published revised proposed amendments to the regulations governing personal care services and consumer-directed personal assistance services. You can read the full article... read more

February 19, 2021

John, a 22-year-old with an intellectual and developmental disability and seizure disorder, manages his services through self-direction. When COVID-19 hit, John had the flexibility to adapt his services and supports, including hiring his brother... read more

February 17, 2021

This article details California’s new Spousal Impoverishment Protection Rule which allows more individuals to access self-directed services via the In-Home Supportive Services Program by allowing the ‘well spouse’ to retain income and assets (to... read more

February 12, 2021

Local news coverage from Massachusetts on the benefits of consumer-directed care, particularly during the pandemic. One woman’s experience is described. Learning that she would be able to choose her personal care attendant including family or... read more

February 12, 2021

An in-depth look at the Veteran-Directed Care program in Montana and how it has supported Veterans enrolled in the program to successfully direct their own care at home. This article also speaks to the advantages of self-directed care in rural... read more

February 8, 2021

This article closely examines the impact of the pandemic on paid in-home caregivers, including family members. Bea Rector, a director at the Washington Department of Social & Health Services (an ASD State Program Member), is quoted in the... read more

February 5, 2021

McKnight's Senior Living published an article on Applied Self-Direction's recent AARP Public Policy Institute report,  ... read more

February 4, 2021

We are pleased to announce that the AARP Public Policy Institute has released our report, Paying Family Caregivers to... read more

February 1, 2021

The Division of TennCare and the Department of Intellectual and Developmental Disabilities (DIDD) announced that more than 290 children have been enrolled in the Katie Beckett Program since it opened for applications in late November... read more

January 28, 2021

This guest column authored by an Outreach Specialist in Michigan highlights the MI Choice self-directed... read more

January 21, 2021

The Indiana Family and Social Services Administration plans to overhaul its rules to ensure that elderly residents have access to home- and community-based services. The state also has instituted a “family caregiver program,” which... read more

January 4, 2021

Consumer-directed workers in New York will be eligible to receive the COVID-19 vaccine beginning the week of January 11th. You can read the full article... read more

December 30, 2020

This article explores the potential ramifications for people with... read more

December 30, 2020

This article provides an overview of the Consumer Directed Personal Assistance Program (CDPAP) in New York... read more

December 18, 2020

As the year draws to a close, we are taking time to reflect on what has been an unusual and challenging year. In the face of unprecedented adversity, our members played a critical role in supporting the over 1.2 million people self-directing in... read more

December 17, 2020

New York State Congressman Brian Higgins (NY-26) announced the approval of legislation providing multiple improvements to Veteran services, including waiving the in-person application requirement for those seeking enrollment in the Veteran-... read more

December 17, 2020

The National Association for Home Care & Hospice (NAHC) is urging Congress to fully fund the Lifespan Respite Care Program.... read more

December 16, 2020

From all of us at Applied Self-Direction, we wish you and your families a joyful holiday season. While this year presented one challenge after another, it has been an honor for us to support stakeholders in self-direction as you rose to the... read more

December 8, 2020

Applied Self-Direction is joining a dynamic panel of experts for the virtual HCBS Conferences session, Balancing Person-Centeredness and Utilization Management within HCBS.

While the aging and disability network strives to be... read more

November 30, 2020

A brief story of how self-direction has made a difference for one man living independently in... read more

November 18, 2020 to November 20, 2020

A recent lawsuit in CA was struck down that would have prevented the state from deducting employee benefits and union dues from IHSS workers’ paychecks. IHSS is one of the largest self-direction programs in the country. You can read the full... read more

November 17, 2020

A brief feature highlighting Consumer Directed Attendant Support Services in Colorado. Local... read more

November 10, 2020

A heartwarming story about how one woman in New Jersey is benefiting from self-direction and gaining access to the community through a partnership with a local chef. You can read the full article... read more

October 29, 2020

Personal care attendants in Virginia who work directly for Medicaid clients faced a deadline to show the hours they worked during the early months of the COVID-19 pandemic to qualify for a $1,500 hazardous duty payment. About two-thirds of the 43... read more

October 28, 2020

This opinion piece was authored by a CIL Executive Director in Oklahoma... read more

October 27, 2020

Advocates in Wyoming are seeking to prevent budget cuts to home and community-based services as the state faces a $750 million budget deficit in the upcoming session. The Community Choices Waiver, which includes self-direction, is pointed to as... read more

October 26, 2020

This article details the Biden campaign’s proposed plan for long term care, including their... read more

October 21, 2020

This op-ed was written by Jessica Clark, who is happily enrolled in a self-direction program. She is sharing why she has chosen to vote for Joe Biden... read more

October 20, 2020

Advocates in Florida are concerned about proposed rules that would require support coordinators to ‘certify’ that individuals with disabilities have exhausted all other options for care before applying for the iBudget self-direction program. You... read more

October 19, 2020

This article discusses how the MI Choice program in Michigan, which includes self-direction... read more

October 15, 2020

One of ASD’s Stakeholder Members, Consumer Directed Choices, was recently featured in their local news. The... read more

October 5, 2020

Governor Newsom of California has vetoed a proposal that would have allowed family caregivers receiving payment via California’s In-Home Services and Supports self-direction program to be eligible for unemployment benefits. You can read the KQED... read more

September 29, 2020

This opinion piece in City Limits suggests that the Consumer-Directed Personal Assistance Program in New York... read more

September 24, 2020

In this article from CBS Los Angeles, a mother is advocating that family... read more

September 20, 2020

A remembrance of Ruth Bader Ginsburg and her contributions to the disability community, most notably providing the majority opinion in the Olmstead v. L.C. decision. This... read more

September 17, 2020

We are thrilled to announce that the fourth National Inventory of Self-Directed Programs for the 2020 AARP Long-Term Services & Supports State Scorecard Report will be released on Thursday, September 24th, 2020! 

Applied Self... read more

September 16, 2020

The pandemic has strained already short-staffed caregiving services, leaving seniors in southwest Colorado without much of the support they need to survive. This... read more

September 15, 2020

The executive director of the Home Care Alliance of MA responds to recent criticism in Massachusetts that only unionized workers have received extra support and pay during the pandemic. This rebuttal includes reference to how home care agencies... read more

September 14, 2020

This article in the Nevada Current explores the impact of the pandemic on worsening the home care workforce crisis... read more

September 10, 2020

The Senate did not pass the latest proposed coronavirus stimulus legislation which was widely panned by disability advocates because it did not address key issues such as enhanced funding for HCBS. This latest development increases the likelihood... read more

September 8, 2020

This report from PHI outlines the current state of the direct care workforce including key demographics, challenges to the... read more

September 8, 2020

Findings from a recent survey are summarized, including that 65... read more

September 3, 2020

This article in the Tahlequah Daily Press highlights ADvantage, a self-... read more

September 2, 2020

This article in the Post Star discusses how many nonprofits that serve... read more

September 1, 2020

This article in The 19th posits that the pandemic has had a disproportionate impact on the homecare workforce and... read more

September 1, 2020

This Cal Matters opinion piece by a union executive director advocates for... read more

August 28, 2020

This article in Life Hacker draws upon recent coverage from AARP on the ability to pay family caregivers in self-... read more

August 26, 2020

This is a letter to the editor regarding New York’s self-direction program under the Home and Community-Based... read more

August 26, 2020

This next year will be pivotal for self-direction. We want to help our members advocate for the change they want to see with policymakers and funders.

We hope you will join us for an... read more

August 19, 2020

Applied Self-Direction is highlighting stories of individuals and families who are self-directing at home during the pandemic. You can read about Kevin's story... read more

August 18, 2020

We are thrilled to offer an online strategic communications course on advocating for self-direction in partnership with Andy Burness, founder of Burness, a DC-based firm focused on social change. Andy... read more

August 12, 2020

The Colorado news outlet, The Mountain Mail, wrote a feature on their local Veteran-Directed Care program, Veterans take... read more

August 5, 2020

The Next Avenue article, Where family caregivers can get financial assistance, provides advice to caregivers on how to get paid, including an in-... read more

August 4, 2020
Join the disability community in a call-in day on Tuesday, August 4th, to urge the Senate to include funding for home and community-based services (HCBS) in the coronavirus relief bill being negotiated. Contact your Senators to tell them #... read more
July 31, 2020

Earlier this week, the Senate released a new COVID-19 relief package, the HEALS Act,... read more

July 23, 2020

The Crescent News published the article, Self-... read more

July 23, 2020

In collaboration with Granite State Independent Living, Applied Self-Direction created a case study to better... read more

July 21, 2020

This amNewYork op-ed, Disability and dignity in the age of COVID-19, was written by Michele Kaplan, a disability advocate and... read more

July 17, 2020

Applied Self-Direction is highlighting stories of individuals and families who are self-directing at home during the pandemic. You can read about Tyler's story... read more

July 10, 2020

The New York Times wants to hear your questions about and experiences with disability and accessibility in the U.S.  In the article, Help... read more

July 10, 2020

New York was one of the first states to be hit by the COVID-19 pandemic with nearly half a million reported cases and over 30,000 deaths. Over 40 percent of those deaths have been in nursing home settings.

The Consumer... read more

June 15, 2020

The Partnership for Medicaid Home-Based Care is requesting support of legislative proposals that increase federal funding for Medicaid Home and Community-Based Services (HCBS) and enhance... read more

June 9, 2020

US Democratic Presidential Candidate Joe Biden released a disability plan which includes an aim around self-direction: "Affirming the right of people with disabilities to self-... read more

June 9, 2020

The Journal of Gerontological Social Work published the article commentary, Self-Direction of Home and Community-Based Services in the Time of COVID-19, written by our colleague Kevin J. Mahoney, Founding Director of the National... read more

May 26, 2020

The Boston Globe published the opinion piece, After COVID-19, a better way to support the elderly and people with disabilities, written by our colleague Kevin J. Mahoney, Founding Director of the National Resource Center for Participant-... read more

May 8, 2020

Applied Self-Direction partnered with AARP to publish the blog post, A Solution, with or without Pandemic: Let Individuals Hire Family for Care. The blog discusses the win-win of hiring family members as well as the short- and long-term... read more

March 6, 2020

"Self-directing participants are equipped to efficiently and effectively improve their wellbeing by addressing the underlying social determinants of health that are unique to that individual. In this way, self-direction breaks the mold of “... read more

January 23, 2020

Merle Edwards-Orr presented "Self-Direction and Pressing Issues in Aging" for the Health Management for Older Adults: Developing an Interdisciplinary Approach course at the Harvard Medical School. This course is led by a physician, a... read more

November 12, 2019

Kevin Mahoney, Ellen Mahoney, and Michelle Putnam recently published Self-Direction in Long Term Services and Supports: The Cash and Counseling Demonstration and Evaluation Ten Years On, a book assessing the impact of the original Cash... read more

October 22, 2019

The Centers for Medicare & Medicaid Services (CMS) has strongly encouraged states to submit electronic visit verification (EVV) good faith effort extension requests by November 30, 2019. Many states have already submitted requests, 11 of... read more

August 28, 2019

Qualified providers and quality providers are not always synonymous. Managed Care Organizations (MCOs) may be given direction to utilize qualified providers, but guidance on what qualified really means may not be part of the conversation.  For... read more

August 1, 2019

Individual budgets are a key component of self-directed services, and assessment-informed budgets are used in the majority of states to allocate waiver funding for Home and Community-Based Services. The Human Services Research Institute (HSRI)... read more

July 31, 2019

As the number and variety of self-direction programs across the world continues to increase, it is enlightening to compare definitions and approaches. “Self-Direction Worldwide: Contrasting Beliefs and their Impact on Practice” by Lynn Breedlove... read more

July 25, 2019 to July 30, 2019

We are excited to share that James Toews has joined Applied Self-Direction to support our members and stakeholders as we advance self-direction. Prior to his work at Applied Self-Direction, James had a distinguished career in federal... read more

July 10, 2019

We are excited to announce that we will co-host a two-day learning experience ("Match") on International Advances in Self-Direction with the Human Services Research Institute (HSRI). The Match will be held on September 9-10 in Boston,... read more

July 9, 2019

The Center for Public Representation's re-designed Supported Decision-Making Website is now live! Supported decision-making (SDM) is an alternative to guardianship that allows an... read more

June 12, 2019

A new study led by Boston University School of Public Health (BUSPH) and Veterans Affairs Boston Healthcare System researchers finds that a program that gives Veterans flexible budgets for at-home caregivers is at least as effective as other... read more

May 22, 2019

The Boston College School of Social Work published an article on the Journal of Gerontological Social Work Special Issue on Self-Direction in Long-Term Services and Supports. The article highlights the role Kevin J. Mahoney, Professor Emeritus at... read more

April 4, 2019

We are excited to announce that the Journal of Gerontological Social Work has released a... read more

February 27, 2019

We are pleased to announce that we have joined the Collaboration to Promote Self-Determination (CPSD), an advocacy network whose mission is to push for major systemic reform of the nation’s disability laws and programs. The vision of CPSD is a... read more

February 7, 2019

The Centers for Medicare and Medicaid Services (CMS) will join us “live and in person” at the Self-Direction Conference! CMS will lead a plenary on Monday, April 29th to provide the latest updates on Electronic Visit Verification (EVV)... read more

February 5, 2019

Every year we receive numerous requests for financial support so that participants and family members can attend our conference. This year is no exception.

In response to these requests, we’re offering a “Sponsor a Participant” option... read more

January 24, 2019

Two new research articles on self-direction and behavioral health were recently published.

Mental Health Self-Directed Care... read more

December 21, 2018
Merle Edwards-Orr, as part of his continuing association with Boston College, works with a team from several VA Medical Centers and universities on an evaluation of the Veteran-Directed Care (VDC) program. He has been working with a team to examine... read more
October 15, 2018 to October 16, 2018

Merle Edwards-Orr, Senior Consultant at Applied Self-Direction, wrote a blog for AARP titled, Taking it to the... read more

September 4, 2018

Pyschology Today recently published an article, Can Addicts Change Through Self-Direction?. The article is available on their... read more

September 4, 2018

Citizen Network is working with the European SKILLS project to identify the extent to which self-directed support is being adopted in different countries around the world.

The project recently published a discussion paper offering: an... read more

August 10, 2018
Mollie Murphy, President of Applied Self-Direction, presented to the Missouri Council for In-Home Services members on the Fair Labor Standards Act Home Care Rule and self-direction compliance on August 10, 2018.
August 9, 2018

We are offering a new membership option for state agencies this year! The State Focus option includes 10 monthly calls with our membership team. Each call will be up to one hour. Your team can use these calls to problem-solve specific issues,... read more

July 31, 2018

The Reinventing Quality planning committee asked Applied Self-Direction to organize a session at their July 2018 Reinventing Quality Conference in Baltimore, Maryland. The... read more

June 13, 2018

Mollie Murphy, President of Applied Self-Direction, presented to the Missouri Council for In-Home Services members on Fiscal/Employer Agent tax policies and procedures on June 13, 2018.... read more

June 6, 2018 to June 8, 2018

Mollie Murphy was a highlighted speaker at the The National Association of State Directors of Developmental Disabilities Services (NASDDDS) ... read more

May 17, 2018

What effect does self-direction have on functional outcomes like housing and employment?

To find out, HSRI researchers and colleagues,  including the NRCPDS Founding Director, Kevin J. Mahoney, looked at approximately four years’ worth of... read more

May 16, 2018

CMS has just released two major pieces of Electronic Visit Verficiation (EVV) guidance:  an informational bulletin and... read more

May 7, 2018

We are excited to announce that three representatives from the Disabled and Elderly Health Programs Group in the Centers for Medicare and Medicaid Services (CMS) Central Office will be leading a session on Electronic Visit Verification... read more

May 3, 2018

Refer an organization to FMSStakeholder, or ... read more

April 12, 2018

Merle Edwards-Orr, Senior Consultant at Applied Self-Direction, recently co-authored a report with AARP titled, ... read more

February 7, 2018

In January 2018, Applied Self-Direction released a Request for Information (RFI) to identify EVV vendors interested in serving self-direction programs. It is important that EVV systems in self-direction programs meet the unique needs of self-... read more

January 18, 2018

Applied Self-Direction is issuing a Request for Information (RFI) to identify Electronic Visit Verification (EVV) vendors interested in serving self-direction programs. It is important that EVV systems in self-direction programs meet... read more

December 20, 2017

A new HSRI Research Brief summarizes the results of new research on self-direction... read more

July 28, 2017

The Human Services Research Institute (HSRI) and Applied Self-Direction, the new home for the National Resource Center for Participant-Directed Services (NRCPDS), are pleased to announce the release of a new website,... read more

June 13, 2017

The Georgetown University Center for Children and Families (CCF) and NHeLP jointly developed 50 state (and DC) specific fact sheets on... read more

June 1, 2017

The Georgetown Center on Poverty and Inequality released a new report, Building the Caring Economy: Workforce Investments to Expand Access to Affordable, High-Quality and Long-Term Care, proposing caregiving jobs investments to address... read more

May 16, 2017

The Kaiser Family Foundation recently released the issue brief, State Variation in Medicaid Per Enrollee Spending for Seniors and People with Disabilities, showing major variations in Medicaid spending across different states and and... read more

May 16, 2017

A new report describing Medicaid long-term services and supports (LTSS) expenditures is now available on the LTSS data page. The... read more

May 5, 2017

As part of our Membership Committee on Advancing Self Direction in a Changing Environment, we created leave-behind Self Direction... read more

May 5, 2017

For years, people who receive disability-related support services have used self direction to live independently in their communities. Now people with serious mental health conditions are using self direction to transform their lives. A new... read more

March 7, 2017

Questions for the Record “Hearing to Consider the Nomination of Seema Verma to be Administrator of the Centers for Medicare & Medicaid Services” Before Senate Finance Committee is available... read more

February 14, 2017

The Kaiser Family Foundation recently published a report on whether a state's adoption of the ACA Medicaid expansion for low-income adults affects the size of its HCBS waiver waiting lists. The full report can be found... read more

February 10, 2017

The article, Dust Off: Veteran-directed care benefits everyone, was posted on TCPalm about the Veteran-Directed Home and Community-Based Services (VD-HCBS) program in West Palm Florida. You can access the full article... read more

January 20, 2017

The Department of Labor (DOL) recently posted new information on their website about Labor Costs for Direct Care Workers. The document explains a... read more

January 10, 2017

The Gerontological Society of America released a press release announcing their new issue of the Public Policy & Aging Report, Participant Self-Direction in Long-Term Supports and Services. The issue can be viewed... read more

December 19, 2016

In December 2016, the State Health Reform Assistance Network released an issues brief titled, Capping Federal Medicaid Funding: Key Financing Issues for States.

President-Elect Donald Trump and Republican congressional leadership... read more

December 13, 2016
On December 13, 2016, the Centers for Medicare and Medicaid Services (CMS) released an Informational Bulletin on Strengthening Program Integrity in Medicaid Personal Care Services. The bulletin is avilable online here: read more
November 10, 2016

Report: Travelling Hopefully: Best Practice in Self-Directed Support by Simon Duffy

South Australia has firmly committed itself... read more

November 9, 2016

On November 9, 2016, the Centers for Medicare and Medicaid Services (CMS) issued a Request for Information (RFI) seeking information and data on additional reforms and policy options that we can consider to accelerate the provision of home and... read more

October 26, 2016

The Public Policy & Aging Report, published quarterly, explores policy issues generated by the aging of American society. The January 2016 issue focuses on Self Direction in Long-Term Services and Supports and includes several... read more

October 25, 2016

Quartz website posted the article, The future of senior care could be paying your friends and family.This article serves as a great introduction to self direction and includes comments and quotes from the NRCPDS and several other... read more

August 30, 2016

The report, “Money Follows the Person (MFP) Demonstration: Overview of State Grantee Progress, January to December 2015,” summarizes progress between January and December 2015 by the 44 MFP grantee states (including the District of Columbia) that... read more

August 24, 2016

This Open Forum describes a September 2015 international learning exchange meeting in which experts in self-direction and mental health from seven nations convened for sharing best practices, discussing challenges, and laying the groundwork for a... read more