2019 National Inventory of Self-Direction Programs

In the summer of 2019, Applied Self-Direction completed a National Inventory of self-directed programs in the United States. The inventory builds on the 2011, 2013, and 2016 national inventories to reflect the impact of changes in Federal law, regulation, and policy designed to promote the growth of self-directed long-term support services, as well as the expanding number of state Medicaid programs contracting with managed care entities to administer their long-term services and supports.

This final report describes the current state of self-direction and changes or trends from earlier national inventory findings.