Adults With Severe Disabilities Federal and State Approaches for Personal Care and Other Services

Summary: The cost & policy implications of changing the current provision of community-based care for adults with severe disabilities are considerable & require a broad understanding of the current framework under which adults with disabilities receive services. This report: (1) estimates the number & characteristics of adults with severe disabilities; (2) quantifies the federal assistance available to such individuals; (3) d...escribes Medicaid coverage of personal care & related services; & (4) discusses how a sample of selected states have implemented Medicaid policies that allow consumers to select their own caregivers, an approach called consumer direction. [read more]