This 2022 National Self-Direction Conference session was designed to educate states and managed care organizations about the cost of providing Financial Management Services (FMS). To help guide the discussion, Kate Murray presented initial findings from a national review of publicly available FMS cost data Applied Self-Direction recently completed from compiling national waiver data. Then two industry experts led a discussion in order to educate states and MCOs about how FMS can vary in scope and complexity. The presenters explored the trade-offs states should be aware of when designing an FMS scope of work–for example, things to consider when rolling support brokerage responsibilities into the FMS role vs. those that have support brokerage as a separate function.
