Self-directed care undeniably has a place in the future of home-based care. How big that place is, however, is still up in the air. There are many benefits to offering self-directed or consumer-directed care, especially for patients who would rather be cared for by a caregiver of choice. States see it as a win-win because it lowers the cost of care and gives families their preferred option. Others are concerned about potential fraud and lack of resources. 

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