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The ability to direct and manage their own services and supports is important to many individuals who need the home- and community-based services (HCBS) provided through state Medicaid programs. These self-directed models may also be known as "consumer direction" and "participant direction" when referring to specific states' programs. In these models, individuals direct many or all of their own HCBS, including selecting and managing direct service workers and/or managing a budget (known in some states as a service cost maximum) for needed services.

This document describes the benefits of daily data exchanges with CMS. It also provides technical FAQs on buy-in data exchanges.

This website provides information on the Washington State Health Home Program -- the managed fee-for-service model Financial Alignment Initiative demonstration in Washington.

These documents, including Washington's proposal and evaluation design plan, are posted on the Medicare-Medicaid Coordination Office's website.

These documents, including Viginia's proposal, three-way contract, readiness review tool, and evaluation design plan, are posted on the Medicare-Medicaid Coordination Office's website.

These documents, including Texas' proposal, three-way contract, readiness review tool, and evaluation design plan, are posted on the Medicare-Medicaid Coordination Office's website.

This website provides information on Healthy Connections Prime -- the capitated model Financial Alignment Initiative in South Carolina.

These documents, including South Carolina's proposal, three-way contract, readiness review tool, and evaluation design plan, are posted on the Medicare-Medicaid Coordination Office's website.

This website provides information on the Integrated Care Initiative: Phase 2 -- the capitated model Financial Alignment Initiative in Rhode Island.

These documents, including Rhode Island's proposal, three-way contract, readiness review tool, and evaluation design plan, are posted on the Medicare-Medicaid Coordination Office's website.