Skip to content

Medicaid self-directed services

Centers for Medicare & Medicaid Services / Medicaid.gov. Public Medicaid.gov page on self-directed Medicaid services.

Key findings used in wiki

  • Self-directed Medicaid services let participants, or representatives when applicable, make decisions about certain services and manage those services with supports.
  • Self-direction can include employer authority: recruiting, hiring, training, and supervising workers who furnish services.
  • Some programs also include budget authority over how Medicaid funds in an individual budget are spent.
  • Medicaid.gov names several authorities through which states can offer self-direction, including 1915(i), 1915(k), 1915(j), and 1915(c).
  • Required supports can include person-centered planning, service plans, individualized budgets, information and assistance, supports brokers or counselors, and financial management services.
  • Use this source for the federal self-direction model and vocabulary; verify state-specific family-payment rules, rates, eligibility, and fiscal intermediary details separately.