Direct care workers, also referred to as direct service workers, provide essential supports to older adults and people with intellectual and developmental disabilities, physical disabilities, and behavioral health needs. The Centers for Medicare & Medicaid Services (CMS) has released an online training course and a series of resources that offer strategies and information on self-direction of home and community-based services, strengthening the direct service workforce (DSW) in rural areas, and emerging strategies for states.
Strengthening the Direct Service Workforce in Rural Areas: Report that summarizes the challenges of ensuring an adequate workforce in rural areas and strategies that state Medicaid and partner agencies and rural stakeholders can use to deliver high-quality HCBS.
Emerging Strategies for States: DSW Learning Collaborative summary of themes, challenges, and strategies from state Medicaid and partner agencies participating in CMS’ 2021 DSW State Medicaid Learning Collaborative.
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Check out: ACL's Direct Care Workforce Page
Supporting and strengthening the direct care workforce is a priority for ACL. Living in the community and participating fully in community life often depends on the availability of services and supports provided by this workforce. Visit our direct care workforce webpage to find more federal resources focused on recruiting, training, retention, and self-direction.
