Module 3
Self-Direction:
An Introduction for Families and Professionals
Today, there is recognition on a national level of barriers that keep people with disabilities from enjoying their Constitutional freedoms and the promise of community living. The Centers for Medicare and Medicaid Services, the federal Medicaid agency states, “While more people may be served (through Medicaid waivers) the opportunities for community presence and participation, the interface with the informal caregiver system and generic community supports, and the support for individuals to sustain valued social and economic roles in the community have not necessarily improved.” [CMS, 2001]
Efforts are being made nationally and in most states (including Virginia), to eliminate barriers and to promote the integration of individuals with disabilities into the mainstream of American life.