News

The highly anticipated fifth Self-Direction National Inventory for the 2023 AARP Long Term Services and Supports  (LTSS) State Scorecard has arrived!
Applied Self-Direction conducted an extensive national survey of self-direction programs in the United States. The research revealed eight key findings on the growth of self-direction, along with data on program expansion and ideas for future policy development. 

According to the 2023 Inventory, there are more than 1.5 million people who self-direct their long-term services and supports. This represents a 23 percent increase since 2019. By comparison, enrollment grew by 17 percent from 2016 to 2019. Most states (44) reported an overall increase in self-direction enrollment and six of those states have more than doubled self-direction enrollment since 2019.  

Inventory data confirms the pandemic accelerated the expansion of self-direction nationwide. States reported that self-direction uptake rates spiked during the early days of the pandemic due to a combination of factors, such as emergency Medicaid waiver amendments. Self-direction became critical to filling the void left by the widespread closure of day services and other supports across the country, and in many states helped family caregivers receive payment for the care they provide. It has also helped mitigate, but alone cannot entirely make up for, pervasive workforce shortages. New to this edition of the Inventory - a comprehensive list of state strategies to address workforce shortages.

Read the  report

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The town of Union Grove banded together behind a common goal - to give everyone an equal chance by hiring as many people with disabilities as possible. There is a school in Union Grove called Shepherds College that specifically teaches students with disabilities. Students live in dorms, learn to be independent, and pick a major to hopefully get a job after graduating just like any other college student in America.

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According to a recent survey, businesses continue to fall short when it comes to meeting the needs of customers who have disabilities. Many people think that the main problem is knowing the steps required. This article explains in detail about all what businesses should doing 

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After strong pushback from the disability community, the U.S. Census Bureau is no longer moving forward with a proposal that could have decreased the estimated disability rates in the country. This proposal would have had a new set of questions that would have asked people to rate their level of difficulty with certain activities. 

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Are you interested in presenting at the 2024 Self-Determination Conference?  We are seeking session proposals for Tuesday, October 22 & Wednesday, October 23, 2024.    

This year’s theme: A Seat at the Table: Nothing About Us Without Us! will help people with disabilities have a voice in supports they need to lead a more Self-Determined live.

Things to know when submitting a proposal:

  • Proposals must include a self-advocate(s) as a lead or co-presenter.
  • Panels should be limited to no more than 3 people. 
  • Conference sessions must support Self-Determination and Self-Directed principles.
  • Presentations will be in person. Presentations should focus on practical, take-home strategies that people can implement in their work and lives.
  • Sessions should not promote specific agencies or products. 
  • Repeat or similar sessions from previous conferences will not be considered.
  • Sessions will be 75 minutes in length. Self-Advocate sessions will be 30 minutes in length.
  • A typical session has an audience of 50-75 attendees. 

Submit your proposal by noon on May 10, 2024. Click the button below to fill out the presenter form online. 

Questions? Email to Fil Clissa at Fil.Clissa@wisconsin.gov 

Link: https://sdconference.regfox.com/2024-self-determination-conference-presenter-proposal 

A hang nail. A sprained ankle. An ear infection. Nasal congestion. Influenza A or B. There are literally thousands of different types of health issues that human beings could have. Some people are born with them; while others are acquired. Many health issues short term, while others are lifelong. Some conditions degenerative meaning symptoms get worse over course of one’s life. Others are not degenerative—the condition doesn’t get worse. Some issues have a simple fix; while others are very complex requiring a huge amount of medical interventions. Many conditions are curable; while others are unfortunately terminal. It’s likely that every single person has experienced some sort of health problem in their lifetime. It’s just part of life-people get sick and injuries are going to happen. Often, people who have disabilities experience multiple health related issues. Whether the disability is congenital or acquired, many people experience numerous medical problems during life.

“You sure know your body,” my mom said after leaving Urgent Care recently one Sunday. Admittedly, I feel like a little kid sharing this, but I somehow ended up with an ear infection of all things. In many previous journal entries, I’ve written about the ongoing medical issues I deal with. Theoretically, cerebral palsy is non-degenerative; however, due to the strain it causes on the body, we do age faster than the average person. For reasons we’ll never know, my body has taken a beating the last decade and a half or so. So much so that my parents often get frustrated when I tell them that I have another issue going on. I know that they see me as more of a hypochondriac in recent years, but I don’t blame them–it has been a lot.

When I feel the slightest ailment or change in my body, I always let people know about it right away. There are a couple reasons I do this. First and foremost, the slightest ailment or change in my body usually throws my muscle tone completely off making things take even longer for me to do. Second, if something were to happen where I was no longer able to communicate, I want to make sure people had a heads up about whatever was going on. That sounds very dramatic, but, in my circumstances, it’s about safety. An example being if I feel sick to my stomach before I go to bed, I always tell my mom so that if I text or call her in the middle of the night, she’ll know that I got sick and need help. Admittedly, I have to be careful with this one because it has backfired on me, but another reason why I tell my workers if I’m not feeling well is so that they can choose to glove up and wear a mask. It’s common courtesy to do that.

Another reason why I may seem hyper vigilant is because I have so many people who helping me with personal cares. Often, especially when I have nursing students or CNAs, workers notice a change or ailment on my body that I didn’t even realize. Of course, they make me aware of the issues which I’m grateful for, but then I’m obligated to do something about it. Most people ignore an ailment until it becomes bothersome; however, many times I can’t do that because I have people suggesting I do something about it.

After nine surgeries, multiple ER/Urgent Care visits, and numerous nights in the hospital in the last decade or so, I have a pretty keen sense of when I need to be seen by medical professionals. After five emergency gastrointestinal surgeries, I know the specific pain and when I have that, there is no messing around – I need to get to the emergency room right away. I also have a pretty good sense with other ailments too. I won’t go into specifics, but I’ve had dealt with quite a few other health issues in the last few years as well. For reasons beyond me, I have also been able to gauge the severity of those pretty accurately. I’m able to tell whether or not I need to be seen by a doctor or if I will be able to treat it with assistance from caregivers. If I need to be seen by a doctor, I’m able to differentiate between the need to go to the emergency room as opposed to going to Urgent Care or making an appointment at a regular doctor’s office. It differs from family to family, but I was brought up understanding that the emergency rooms are only meant for life-or-death circumstances. I’ve found myself in those circumstances too many times. Mainly because of gastrointestinal issues, but there have been a couple issues related to cerebral palsy that landed me in the in the emergency room. In most of these cases, doctors sent me there so I could get immediate tests for whatever symptom I was having.  Obviously, the symptoms were greatly impacting my life and couldn’t wait for appointments to open up or insurance pre-approvals.

I really try not to be overly dramatic about my health, but it’s hard not to be. Given I have to balance so many different factors, I’d rather be safe than sorry. My instincts have been right 99% of the time. While I don’t like being seen as overly dramatic sometimes, I’ve learned to trust my gut when it comes to my health. My uncanny instinct has saved my life more than once!

***The views expressed here are strictly those of the author and do not necessarily reflect those of InControl Wisconsin, the Network or any of our sponsors.

As the start of 2024, many issues are at play that will affect Medicaid coverage, financing, and access. Medicaid is the primary program providing comprehensive health and long-term care coverage to one in five low-income Americans. This article explains what else to watch for in Medicaid coverage in 2024.

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Member Spotlight: Chad


By SD Network, 2024-02-02

unnamed 1.jpgMeet Chad. This rock climbing fanatic volunteers his time doing all sorts of advocacy things. He believes getting involved in the community is the key to being self-determined. We’re so fortunate to have him as a member on the Network!

What's your story?  Tell us a little bit about yourself.

Chad is a disability advocate in the Madison area.  He currently lives independently in his own apartment and receives supportive homecare.

How are you involved with self-determination? Why did you join the SD Network?

Chad wants to help empower people to have self-determination by helping advocate in our community. “I think it’s important for people to have self-determination to advocate for themselves and to be the most independent they can be,” he says.

Tell us some good news - what's the most exciting thing happening for you (or in Wisconsin) in terms of self-determination?

Some exciting news for Chad is that last year he became the president of the People First Wisconsin Madison chapter.  He also volunteers for the Youth Leadership Forum. He’s taking Partners in Policymaking this year as well.

What tip or resource would you like to share with people who want to be more self-determined?

Chad encourages people to get involved in the community. He explains that it is the best way to be self-determined. “I’ve met a lot of friends through my advocacy journey, and it helps me be a better advocate for myself,” he tells us. 

What are some of your hobbies?

In his spare time, Chad enjoys spending time with his friends, playing video games and going outside when the weather is nice.  He also loves rock climbing.

***We love hearing the views and opinions of Network members. We need to mention that the views and opinions expressed on this site are those of the person who is sharing them. They do not necessarily reflect InControl Wisconsin or any of our supporters and funders.

Beginning in September 2024, the Wisconsin Department of Health Services (DHS) will require all adult long-term care waiver service providers to enroll with Wisconsin Medicaid through the ForwardHealth Portal.

The new enrollment process is how you will become certified as a Wisconsin Medicaid provider and be assigned a Medicaid Provider ID. The new process is for those who provide services to adults who are older, have a physical disability, or have an intellectual or developmental disability and participate in any of the following programs:

The new enrollment process is also for individuals, agencies, organizations, vendors, and sole proprietors who provide services listed in the DHS MCO contract or the IRIS Service Definition Manual. Existing Medicaid providers who also want to provide waiver services must access the Portal to add long-term care waiver programs and services to their current Medicaid provider file.

Individual self-directed support (SDS) workers and participant-hired workers will continue to be Medicaid certified and contracted through managed care organizations and IRIS fiscal employer agents.

Sign up for email updates from the Adult Long-term Care Waiver Service Provider Enrollment Project


You will access the E-mail Subscription Sign-up page on the Portal to sign up to receive emails. You can sign up for as many lists as you are interested in.

Subscribe to the Adult Long-term Care Waiver Service Provider Email list.

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ACL is pleased to announce the release of the 2024–2028 Long-Range Plan (LRP) for the National Institute on Disability, Independent Living, and Rehabilitation Research (NIDILRR). As mandated by Congress, NIDILRR’s LRP provides a five-year agenda for advancing the vital work being done in applied research and development to improve the inclusion of people with disabilities into all aspects of society.  

Shaped by extensive stakeholder input, the new LRP continues to emphasize scientific rigor and the need for research that is highly relevant to the lives of people with disabilities. In addition, it provides data to show progress made on goals included in the last LRP, demonstrating NIDILRR’s commitment to the field. The plan also contains several new areas of emphasis, including:
  • Expanded commitment to broader inclusion of people with disabilities across the research enterprise;
  • New opportunities for international research and development activities;
  • An increased focus on the enabling or disabling characteristics of the communities in which we live; and 
  • Call to the field to pursue work that has an intersectional focus.
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