THE SELF-DIRECTION CENTER: Self-Direction Has Guardrails. Here's What Everyone Should Know.
This reference guide from the Self-Direction Center pushes back on fraud-driven scrutiny of Medicaid self-direction, arguing the model was built with accountability from the start. It cites the randomized Cash & Counseling study showing fewer unmet needs and better health, notes more than 1.5 million people self-directed care as of 2023, and details safeguards like Financial Management Services (FMS) and Electronic Visit Verification (EVV). With fraud convictions among self-directed workers at just 0.02% in 2021, its message: refine safeguards, don't cut the program.
