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January 15, 2008
 Medicaid Program; Self-Directed Personal Assistant Services Program State
Plan Option (Cash and Counseling)
This proposed rule would allow Medicaid beneficiaries to direct their
personal assistance services. This rule would permit beneficiaries,
through their state programs, to be in charge of hiring, directing,
scheduling, supervising, evaluating, and firing their own personal care
workers in lieu of an assigned worker employed by an agency. This
proposed rule offers guidance to states wanting to administer such a
self-directed personal assistant service option through their state
Medicare and Medicaid plans. Comments are due February 19, 2008.
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OPEN MINDS