Good morning, we are undergoing significant waiver redesign as part of our DOJ settlement agreement. One of the desires among advocates (including us) is to infuse more consumer direction into services. Right now there we have consumer directed personal care, respite, and companion. Stakeholders are asking for additional CD services (I know some folks call them self directed), in Virginia it is CD, such as transportation, employment, and in home residential. There is some push back because many of these services now require licensed providers so providers are not necessarily supportive nor is our DD agency due to liability, training and other issues. Polling to see if any of your states have self/consumer directed services in these areas, have they worked, what have been the pitfalls. THANKS!

Heidi Lawyer

Executive Director

Virginia Board for People with Disabilities (VBPD)

1100 Bank Street, 7th Floor, Richmond, VA 23219

804-786-0016

800-846-4464