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 person-centered and maximize service delivery to community-based participants, federal regulation also requires that State Medicaid programs “prevent the provision of unnecessary or inappropriate services and supports.” Administering service limits based on assessed need and anticipated cost-effectiveness can pose inherent challenges as states reinforce person-centered approaches to case management. This session will include a discussion with two states (KY and WI) who have collaborated with case managers, direct service providers and participants and their caregivers to build a culture that reinforces person-centeredness but also acknowledges the realities of resource constraints and clinical necessity – including corrective actions to “right the ship.” This session will include considerations related to both traditional AND self-directed service models.