Self-Direction Programs

Did you know over 1.5 million individuals are self-directing in the US? Click on the interactive map for a list of self-directed services by state or filter by the population served.

WA ID OR MT ND MN SD WY CA NV UT AZ CO NM TX OK KS IA WI NE IL MO IN MI OH KY TN AR WV VA PA NY DC MD DE NJ CT RI MA ME NH VT NC SC GA AL FL MS LA AK HI

Populations Served

Adults
Children

Alabama

Alabama Community Transition (ACT) Waiver

Populations served:
Adults aged 65 and over,Adults with Physical Disabilities,Children with Physical Disabilities

Community Waiver Program (CWP)

Populations served:
Adults with Intellectual/Developmental Disabilities,Children with Intellectual/Developmental Disabilities

Elderly and Disabled (E&D) Waiver

Populations served:
Adults aged 65 and over,Adults with Physical Disabilities,Children with Physical Disabilities

Intellectual Disabilities (ID) Waiver

Populations served:
Adults with Intellectual/Developmental Disabilities,Children with Intellectual/Developmental Disabilities

Living at Home (LAH) Waiver

Populations served:
Adults with Intellectual/Developmental Disabilities,Children with Intellectual/Developmental Disabilities

Personal Choices

Populations served:
Adults aged 65 and over,Adults with Physical Disabilities,Children with Physical Disabilities

State of Alabama Independent Living (SAIL) Waiver

Populations served:
Adults with Physical Disabilities,Adults with Traumatic Brain Injury

Technology Assisted (TA) Waiver for Adults

Populations served:
Adults with Physical Disabilities,Other populations

Veteran Directed Care (VDC) - Birmingham

Populations served:
Adults aged 65 and over,Adults with Physical Disabilities,Adults with Traumatic Brain Injury

Veteran Directed Care (VDC) - Central Alabama

Populations served:
Adults aged 65 and over,Adults with Physical Disabilities,Adults with Traumatic Brain Injury

Veteran Directed Care (VDC) - Tuscaloosa

Populations served:
Adults aged 65 and over,Adults with Physical Disabilities,Adults with Traumatic Brain Injury

California

1915(i) State Plan Amendment

Populations served:
Adults with Intellectual/Developmental Disabilities,

Community First Choice Option (CFCO)

Populations served:
Adults aged 65 and over,Adults with Physical Disabilities,Adults with Intellectual/Developmental Disabilities,Adults with Serious Mental Illness,Adults with Traumatic Brain Injury,Children with Physical DisabilitiesChildren with Intellectual/Developmental DisabilitiesChildren with Serious Emotional DisturbanceChildren with Traumatic Brain InjuryOther populations

HCBS Waiver for Californians with Developmental Disabilities

Populations served:
Adults with Intellectual/Developmental Disabilities,Children with Intellectual/Developmental Disabilities

Home and Community Based Alternatives (HCBA) Waiver

Populations served:
Other populations,

IHSS Plus Option (IPO)

Populations served:
Adults aged 65 and over,Adults with Physical Disabilities,Adults with Intellectual/Developmental Disabilities,Adults with Serious Mental Illness,Adults with Traumatic Brain Injury,Children with Physical DisabilitiesChildren with Intellectual/Developmental DisabilitiesChildren with Serious Emotional DisturbanceChildren with Traumatic Brain InjuryOther populations

In-Home Supportive Services-Residual (IHSS-R)

Populations served:
Adults aged 65 and over,Adults with Physical Disabilities,Children with Physical Disabilities

Personal Care Services Program (PCSP)

Populations served:
Adults aged 65 and over,Adults with Physical Disabilities,Children with Physical Disabilities

Self-Determination Program (SDP) Waiver for Individuals with Developmental Disabilities

Populations served:
Adults with Intellectual/Developmental Disabilities,Children with Intellectual/Developmental Disabilities

Veteran Directed Care (VDC) - San Diego

Populations served:
Adults aged 65 and over,Adults with Physical Disabilities,Adults with Traumatic Brain Injury

Florida

Consumer-Directed Care Plus - CDC+

Populations served:
Adults with Intellectual/Developmental Disabilities,Children with Intellectual/Developmental Disabilities,Other populations

Developmental Disabilities Individual Budgeting (iBudget) Waiver

Populations served:
Adults with Intellectual/Developmental Disabilities,Children with Intellectual/Developmental Disabilities,Other populations

Long-Term Care Waiver -(Participant-Directed Option)

Populations served:
Adults aged 65 and over,Adults with Physical Disabilities,Adults with Traumatic Brain InjuryOther populations

Self-Directed Care, Circuit 20

Populations served:
Adults with Serious Mental Illness,

Self-Directed Care, District 4 (Jacksonville)

Populations served:
Adults with Serious Mental Illness,

Veteran Directed Care (VDC) - Bay Pines

Populations served:
Adults aged 65 and over,Adults with Physical Disabilities,Adults with Traumatic Brain Injury

Veteran Directed Care (VDC) - Gainesville

Populations served:
Adults aged 65 and over,Adults with Physical Disabilities,Adults with Traumatic Brain Injury

Veteran Directed Care (VDC) - Miami

Populations served:
Adults aged 65 and over,Adults with Physical Disabilities,Adults with Traumatic Brain Injury

Veteran Directed Care (VDC) - Orlando

Populations served:
Adults aged 65 and over,Adults with Physical Disabilities,Adults with Traumatic Brain Injury

Veteran Directed Care (VDC) - Tampa

Populations served:
Adults aged 65 and over,Adults with Physical Disabilities,Adults with Traumatic Brain Injury

Veteran Directed Care (VDC) - West Palm

Populations served:
Adults aged 65 and over,Adults with Physical Disabilities,Adults with Traumatic Brain Injury

Michigan

1115 Behavioral Health Demonstration

Populations served:
Adults with Intellectual/Developmental Disabilities,Adults with Serious Mental Illness,Children with Intellectual/Developmental DisabilitiesChildren with Serious Emotional Disturbance

1915(i) State Plan HCBS

Populations served:
Adults with Serious Mental Illness,

Children's Waiver Program (CWP)

Populations served:
Children with Intellectual/Developmental Disabilities,Other populations

Habilitation Supports Waiver

Populations served:
Adults with Intellectual/Developmental Disabilities,Children with Intellectual/Developmental Disabilities

Home Help Program

Populations served:
Adults aged 65 and over,Adults with Physical Disabilities,Adults with Intellectual/Developmental Disabilities,Adults with Serious Mental Illness,Adults with Traumatic Brain Injury,Children with Physical DisabilitiesChildren with Intellectual/Developmental DisabilitiesChildren with Serious Emotional DisturbanceChildren with Traumatic Brain InjuryOther populations

MI Choice

Populations served:
Adults aged 65 and over,Adults with Physical Disabilities

MI HealthLink + HCBS Waiver

Populations served:
Adults aged 65 and over,Adults with Physical Disabilities

Self-Determination Initiative

Populations served:
Adults with Intellectual/Developmental Disabilities,Children with Intellectual/Developmental Disabilities

Veteran Directed Care (VDC) - Battle Creek

Populations served:
Adults aged 65 and over,Adults with Physical Disabilities,Adults with Traumatic Brain Injury

Veteran Directed Care (VDC) - Detroit

Populations served:
Adults aged 65 and over,Adults with Physical Disabilities,Adults with Traumatic Brain Injury

Veteran Directed Care (VDC) - Iron Mountain

Populations served:
Adults aged 65 and over,Adults with Physical Disabilities,Adults with Traumatic Brain Injury

Veteran Directed Care (VDC) - Saginaw

Populations served:
Adults aged 65 and over,Adults with Physical Disabilities,Adults with Traumatic Brain Injury

Veteran Directed Care (VDC)- Ann Arbor

Populations served:
Adults aged 65 and over,Adults with Physical Disabilities,Adults with Traumatic Brain Injury

Waiver for Children with Serious Emotional Disturbances (SEDW)

Populations served:
Children with Serious Emotional Disturbance,

Missouri

DD Community Support Waiver

Populations served:
Adults with Intellectual/Developmental Disabilities,Children with Intellectual/Developmental Disabilities

DD Comprehensive Waiver

Populations served:
Adults with Intellectual/Developmental Disabilities,Children with Intellectual/Developmental Disabilities

Independent Living Waiver

Populations served:
Adults with Physical Disabilities,

Missouri Children with Developmental Disabilities (MOCDD) Waiver - Sarah Lopez Waiver

Populations served:
Children with Intellectual/Developmental Disabilities,

Partnership for Hope

Populations served:
Adults with Intellectual/Developmental Disabilities,Children with Intellectual/Developmental Disabilities,Other populations

State Plan Consumer-Directed Services

Populations served:
Adults aged 65 and over,Adults with Physical Disabilities,Adults with Intellectual/Developmental Disabilities,Adults with Serious Mental Illness,Adults with Traumatic Brain Injury,Children with Physical DisabilitiesChildren with Intellectual/Developmental DisabilitiesChildren with Serious Emotional DisturbanceChildren with Traumatic Brain InjuryOther populations

Veteran Directed Care (VDC) - Poplar Bluff

Populations served:
Adults aged 65 and over,Adults with Physical Disabilities,Adults with Traumatic Brain Injury

Veteran Directed Care (VDC) - St. Louis

Populations served:
Adults aged 65 and over,Adults with Physical Disabilities,Adults with Traumatic Brain Injury

Veteran Directed Care (VDC) -Kansas City

Populations served:
Adults aged 65 and over,Adults with Physical Disabilities,Adults with Traumatic Brain Injury

Oregon

1915(i) State Plan HCBS

Populations served:
Adults with Serious Mental Illness,

Adults HCBS Waiver

Populations served:
Adults with Intellectual/Developmental Disabilities,

Behavioral (ICF/IDD Model Waiver)

Populations served:
Children with Intellectual/Developmental Disabilities,

Children's HCBS Waiver

Populations served:
Children with Intellectual/Developmental Disabilities,

Children's HCBS Waiver

Populations served:
Children with Intellectual/Developmental Disabilities,

Independent Choices Program (ICP)

Populations served:
Adults aged 65 and over,Adults with Physical Disabilities

K Plan

Populations served:
Adults aged 65 and over,Adults with Physical Disabilities,Adults with Intellectual/Developmental Disabilities,Adults with Serious Mental Illness,Adults with Traumatic Brain Injury,Children with Physical DisabilitiesChildren with Intellectual/Developmental DisabilitiesChildren with Serious Emotional DisturbanceChildren with Traumatic Brain InjuryOther populations

Medically Fragile (Hospital) Model

Populations served:
Other populations,

Medically Involved Children's Waiver (MICW)

Populations served:
Children with Physical Disabilities,Other populations

Oregon Project Independence (OPI)

Populations served:
Adults aged 65 and over,

State Plan Personal Care

Populations served:
Adults aged 65 and over,Adults with Physical Disabilities,Adults with Intellectual/Developmental Disabilities,Adults with Serious Mental Illness,Adults with Traumatic Brain Injury,Children with Physical DisabilitiesChildren with Intellectual/Developmental DisabilitiesChildren with Serious Emotional DisturbanceChildren with Traumatic Brain InjuryOther populations

Veteran Directed Care (VDC) - Portland

Populations served:
Adults aged 65 and over,Adults with Physical Disabilities,Adults with Traumatic Brain Injury

Veteran Directed Care (VDC) - Roseburg

Populations served:
Adults aged 65 and over,Adults with Physical Disabilities,Adults with Traumatic Brain Injury

Veteran Directed Care (VDC) - White City

Populations served:
Adults aged 65 and over,Adults with Physical Disabilities,Adults with Traumatic Brain Injury

Texas

Community Attendant Services

Populations served:
Other populations,

Community First Choice - Consumer Directed Services

Populations served:
Adults aged 65 and over,Adults with Physical Disabilities,Adults with Intellectual/Developmental Disabilities,Adults with Serious Mental Illness,Adults with Traumatic Brain Injury,Children with Physical DisabilitiesChildren with Intellectual/Developmental DisabilitiesChildren with Serious Emotional DisturbanceChildren with Traumatic Brain InjuryOther populations

Community Living Assistance Support and Services (CLASS)

Populations served:
Adults with Intellectual/Developmental Disabilities,Children with Intellectual/Developmental Disabilities

Consumer Managed Personal Attendant Services

Populations served:
Adults with Physical Disabilities,

Deaf Blind with Multiple Disabilities (DBMD)

Populations served:
Adults with Intellectual/Developmental Disabilities,Children with Intellectual/Developmental Disabilities

Family Care

Populations served:
Adults aged 65 and over,Adults with Physical Disabilities

Home and Community-based Services (HCS) Program

Populations served:
Adults with Intellectual/Developmental Disabilities,Children with Intellectual/Developmental Disabilities

Primary Home Care

Populations served:
Adults with Physical Disabilities,Other populations

Star Kids

Populations served:
Children with Physical Disabilities,

Star Kids & Star Health - Medically Dependent Children Program (MDCP)

Populations served:
Other populations,

Star Plus HCBS

Populations served:
Adults aged 65 and over,Adults with Physical Disabilities,Children with Physical Disabilities

Star+Plus

Populations served:
Adults aged 65 and over,Adults with Physical Disabilities,Other populations

Texas Home Living (TxHmL) Program

Populations served:
Adults with Intellectual/Developmental Disabilities,Children with Intellectual/Developmental Disabilities

Texas Self-directed Care

Populations served:

Veteran Directed Care (VDC) - Houston

Populations served:
Adults aged 65 and over,Adults with Physical Disabilities,Adults with Traumatic Brain Injury

Veteran Directed Care (VDC) - San Antonio

Populations served:
Adults aged 65 and over,Adults with Physical Disabilities,Adults with Traumatic Brain Injury

Veteran Directed Care (VDC) - Temple

Populations served:
Adults aged 65 and over,Adults with Physical Disabilities,Adults with Traumatic Brain Injury