Self-direction is a service delivery model that helps people of all ages, with all types of disabilities, maintain their independence at home and in their communities. When a person self-directs, they decide how, when, and who provides their services and supports. It is different than getting services from an agency, as the person is the employer of their workers. Self-direction focuses on putting the choice, control, and flexibility in the hands of the person who knows their life best, the program participant. There are currently over 1 million Americans self-directing their services, and most self-directed services are funded by Medicaid.

Why Choose Self-Direction

At its core, self-direction is based on the belief that people with disabilities know their needs best and are in the best position to plan and manage their own services. Self-direction promotes personal choice and control over the delivery of services. People who are self-directing often choose to hire family members and friends to provide their services.

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