Just over 1 million people were enrolled in Medicaid-funded and Veteran-Directed Home- and Community-Based Services self-directed programs in 2016.

Evidence shows that self-direction is an effective way to provide long-term services and supports (LTSS).

This paper is the fourth in a series of innovative and promising practices reports.

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Sari Feldman leaning on a bookcase in one of the Cuyahoga County, Ohio libraries

Scott Miller talks with coworkers during a meeting.

Kellen Kee McIntire in front of painting with flowers