(available upon request from the author)
Class Self-Direction is a Medicaid program that enables individuals with disabilities to self-direct their services, rather than relying on traditional agency-based services. The program provides participants with the flexibility to manage their own budgets, hire and fire staff, and make decisions about the services they receive. This approach is based on the principles of self-advocacy, self-empowerment, and self-direction, which prioritize the autonomy and dignity of individuals with disabilities. cdass self-direction colorado
Colorado’s direct care workforce crisis affects CDASS as well. Participants report difficulty finding reliable attendants, particularly in rural areas. The state’s “Backup Plan” requirement (maintaining a list of at least two backup attendants) is often impossible to fulfill. hire and fire staff