Self-direction is a beneficiary-controlled HCBS delivery model. The Centers for Medicare & Medicaid Services requires that states provide satisfactory assurances of certain protections for HCBS beneficiaries, including those enrolled in self-directed HCBS programs. These protections include assurances related to the health and welfare of enrollees. During this session, staff presented a federal policy scan of health and welfare assurances. Findings focused on incident management systems, conflict of interest standards, and safeguards specific to self-direction. Commissioners discussed these findings and provided feedback on areas for further investigation.
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Medicaid and CHIP Payment and Access Commission