Developing and Implementing Self-Direction Programs and Policies: A Handbook
This Handbook was developed to provide state staff, policymakers, service providers, program participants, and other stakeholders with a single comprehensive source of information about self-direction programs and policies.
You can download the full handbook or individual chapters below. Please Sign up for Handbook Update Notifications to receive an email when changes are made to the Handbook.
Download Full Handbook (PDF), 296 pages, 3.86 MB
- Cover (PDF), 1 page, 41 KB
- Overall Table of Contents (PDF), 8 pages, 254 KB
- Handbook Introduction (PDF), 7 pages, 273 KB
- Chapter 1: Self-Direction (PDF), 25 pages, 604 KB
- Chapter 2: Legal Authority (PDF), 32 pages, 600 KB
- Chapter 3: Involving Participants (PDF), 14 pages, 521 KB
- Chapter 4: Enrollment (PDF), 22 pages, 519 KB
- Chapter 5: Individual Budgeting (PDF), 19 pages, 536 KB
- Chapter 6: Counseling (PDF), 22 pages, 549 KB
- Chapter 7: Fiscal/Employer Agent Services (PDF), 36 pages, 697 KB
- Chapter 8: Quality Management in Self-Direction Programs (PDF), 25 pages, 591 KB
- Chapter 9: Self-Direction and Health Care (PDF), 35 pages, 714 KB
- Chapter 10: Looking Ahead (PDF), 6 pages, 265 KB
- Appendix I: Using Strategic Communications (PDF), 19 pages, 457 KB
- Appendix II: The Consumer Direction Module (PDF), 16 pages, 445 KB
- Appendix III: History of Self-Direction (PDF), 8 pages, 253 KB








