1. Who is Eligible for IndependentChoices? Be enrolled in a Medicaid category that covers personal care Be age 18 or older Be in need of personal assistance services Understand and accept the rights, risks, and responsibilities of directing your own care, or appoint a Decision-Making Partner to do so

2. Benefits of Participant Direction Offers more control, more flexibility, and more independence to people who receive personal assistance services at home – Control – participants decide what services are needed, who will perform the service, when and how the services are provided – Flexibility – participants can purchase items they really need, when they need them – Independence – participants who need daily assistance maintain their independence at home

3. IndependentChoices Elements of Participant Direction Person-driven assessment Option to use a representative Transparent and equitable individual budget Support broker/consultant services Financial management services Design of a spending plan Ability to hire workers and purchase goods and services Participant-driven quality management system Emergency back-up plan

4. Traditional versus Participant-Directed Services Traditional ServicesParticipant-Directed Services

5. Shift in Participant Responsibilities Traditional Services Consumer-Directed Services

6. Shift in Support System