December 22, 2021

With sponsorship from Centene, Applied Self-Direction convened an Executive Roundtable Series in September 2021 to bring together national experts and stakeholders for in-depth discussions on the design and implementation of information and... Read more

August 12, 2021

Self-direction is a lifeline for people living in frontier and rural areas, as it allows them to receive the services they need while safely remaining in the community where they feel most at home. This case study highlights the importance of... Read more

September 24, 2020

In the summer of 2019, Applied Self-Direction partnered with AARP to complete a National Inventory of self-directed programs in the United States. The inventory builds on the... Read more

August 13, 2019
The Arkansas Department of Human Services submitted their Independent Choices Final Report (December 1998- March 2008) to the Centers for Medicare and Medicaid Services (CMS). Arkansas was one of the three states in the Cash... Read more
January 8, 2019
This reference guide compiles key excerpts from the Internal Revenue Manual (IRM) that pertain to Fiscal/Employer Agents (F/EAs) operating under Section 3504 of the Internal Revenue Code. The Internal Revenue Manual is an extensive compilation of... Read more
December 6, 2018

In the summer of 2016, the National Resource Center for Participant-Directed Services (NRCPDS) completed a National Inventory  of self-directed programs in the United States. The inventory builds on the NRCPDS’ 2011 and 2013 national inventories... Read more

December 21, 2017
In 2014, at the request of the Veterans Administration, the NRCPDS published a guide on how to make a case for sustaining the on-going importance of the VD-HCBS program. The report addresses several ways that sites can create value in maintaining a... Read more
May 4, 2017
The Demonstration of Self-Direction in Mental Health explores the impacts of mental health self-direction in several states. The National Resource Center for Participant-Directed Services (NRCPDS) at Boston College serves as the National Program... Read more
January 25, 2017

This is a report of the first evaluation of the Veteran-Directed Home and Community-Based Services (VD-HCBS) program. NRCPDS staff interviewed Veterans Affairs Medical Center (VAMC) coordinators and reviewed information about Veterans both in and... Read more

November 23, 2016

In this two-part study, the NRCPDS assessed key issues related to participant direction in Medicaid managed long-term services and supports (MLTSS) and integrated Medicare and Medicaid programs for the dually eligible. The NRCPDS reviewed... Read more


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