Self-Direction Services

People in the Home and Community Based Services (HCBS) population who are enrolled in an eligible 1915 (c) or (j) Medicaid waiver program can participate in self-direction, which gives individuals the ability to design their own services and supports. Self-direction is funded by federal and state Medicaid funds under a federal waiver – either 1915 (c) or (j). States can design their own program.

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WHO

Who?

People in the Home and Community Based Services (HCBS) population who are enrolled in an eligible 1915 (c) or (j) Medicaid waiver program.
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WHAT

What?

Gives individuals the ability to design their own services and supports.
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FUNDING

Funding

Funded by federal and state Medicaid funds under a federal waiver – either 1915 (c) or (j). States can design their own program.

Puts the individual in charge of their services and supports, creating a truly person-centered model.

  • Enables personal choice – manage staff, services, supports, budget, and schedule.
  • Empowers individuals to choose their own service providers which can create strong relationships with the staff and connections to the community.
  • Decision control for the Individual over key choices, like where they live, work, and volunteer.
  • Results in better quality of services and supports – with many states reporting that individuals who self-direct see improved fiscal and clinical results.
Self Direction

Self-Direction within MediSked Connect

Self-direction puts the individual in charge of their services and supports, creating a truly person-centered model. MediSked Connect’s self-direction features enable personal choice, empowering individuals to choose their own service providers which can create strong relationships with the staff and connections to the community. The individual gets control over key decisions like where they live, work, and volunteer. This results in better quality of services and supports, with many states reporting that individuals who self-direct see improved fiscal and clinical results.

MediSked Connect enables the successful management of Self-Direction Services. For example:

  • Easily manage and plan self-direction budgets
  • Individual and designee portal for services approvals
  • HIPAA-compliant electronic billing and remittances with Medicaid
  • Transactions in a single system with reports available at intervals you select

Manage Budgets for Self-Direction in MediSked Connect

The integrated billing capabilities of MediSked Connect offer these critical tools that support Self-Direction:

Create A Budget
  • Person-centered collaboration between an agency and individual.
Create & Manage Budget Periods
  • Set total budget for the budget period.
  • Manage multiple budget period start and end dates.
Manage Expense Categories
  • Associate expense categories with budget periods.
  • Associate anticipated services to expense categories.
  • Add category spending limits.
Add Expenses To Budget Categories
  • Within budget periods.
  • Manual additions.
  • Automatic workflow from claim submissions.
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  • Amount used/available in the budget period.
Monthly & Annual Summaries
  • Export in Excel and standard formats
Service Authorization

Plan & Budget Tools

Plan & Budget Tools

Easily manage plan and budget – including development of start-up budget. You can also track approvals and budget allocation changes while managing utilization of services. Organizations get a real-time view of budget status, expense submissions and remaining budget allocations.
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Person-Centered Portal

Person-Centered Portal

Individuals can grant access to family/contacts and other providers. Review & approve documentation and timesheets, view the current budget and all expenses that have been logged to date, as well as review and approve expenses.
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Empowering the Individual

Empowering the Individual

Employee set-up based on the rate set by the individual. Mobile timesheets and note entry to review, as well as online expense tracking. Combined with real-time status and communications to focus on empowerment.
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Reporting Tools

Reporting Tools

On-demand and/or set interval reports are available. Also included is the ability for monthly and annual reporting. All data is exportable to Excel. We've also included the option for regulatory format reports.

Learn How to Optimize Administration of Self-Direction Services