Applied Self-Direction (@AppliedSD) header
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We are a mission-driven organization with one goal: to advance self-direction. Shares ≠ endorsements

Boston, MA
Joined July 2020
Photo by Applied Self-Direction (@AppliedSD)Photo by Applied Self-Direction (@AppliedSD)Photo by Applied Self-Direction (@AppliedSD)Photo by Applied Self-Direction (@AppliedSD)Photo by Applied Self-Direction (@AppliedSD)Photo by Applied Self-Direction (@AppliedSD)Photo by Applied Self-Direction (@AppliedSD)Photo by Applied Self-Direction (@AppliedSD)Photo by Applied Self-Direction (@AppliedSD)Photo by Applied Self-Direction (@AppliedSD)
Applied Self-Direction retweeted
Loved talking w/@EvanNBC5 on @NBCDFW about the unheralded community-based care attendants. They help older Texans & those w/disabilities stay in their own homes. Texas Medicaid sets base pay for them at $8.11/hr. Will #txlege give 'em a raise? My story: dallasnews.com/news/2023/03/…
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Applied Self-Direction retweeted
The number of state #Medicaid waiver programs covering around-the-clock #HCBS has grown over the past few decades, according to an analysis from Centers for Medicare & Medicaid Services and published in Health Affairs. ow.ly/nU1a50Kk33M
Applied Self-Direction retweeted
In isolation and cut off from the services they need or feeling distressed about the lifting of restrictions, many people who have a disability or are high-risk say they feel "ignored" during the pandemic. clarionledger.com/story/news…
Applied Self-Direction retweeted
After multiple delays, federal officials are plowing ahead with a long-awaited #Medicaid rule establishing standards for what counts as home and community-based services for people with #disabilities. disabilityscoop.com/2022/06/…
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Applied Self-Direction retweeted
“The state pays home care workers poverty wages, and they’re leaving the sector in droves." democratandchronicle.com/sto…
Statewide coordinated plans are needed to address the direct care workforce shortage. Read our Direct Care Workforce Policy and Action Guide designed to help state officials better support these workers buff.ly/3G0RQB6 CC @CHCShealth
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Applied Self-Direction retweeted
‘Federal and many state public health responses to COVID-19 did not prioritize home and community-based services.’ From @susanpolicy, Brendan Flinn and @cbamero in Spring #GenerationsJournal: bit.ly/3LpjZUp @AARP
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Applied Self-Direction retweeted
Julie Beckett's advocacy brought fundamental change to the federal Medicaid program, ultimately improving the lives of hundreds of thousands of children with disabilities across the country. She died in Cedar Rapids on Friday. She was 72. thegazette.com/health-care-m…
Do you get services that help you live in your home and be part of your community? To make services better, we are conducting a survey to learn how well services are truly meeting your needs. Be part of the study: zcu.io/WM80 Watch the video: zcu.io/3zFZ
A recent Mercer labor market analysis found that New York is facing the worst home care shortage in the nation. Here is one Hudson Valley couple’s story. trib.al/68R5jGE
Increasing access to #HCBS would improve outcomes, and help unpaid family caregivers shouldering the burden of unmet need. It could also help states contain LTSS spending. @JoePolicyWonk explains in a new info sheet: zcu.io/PqEU @SenBobCasey @SenateAging #CareCantWait
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Applied Self-Direction retweeted
'The annual report known as the “Case for Inclusion” assesses 80 different metrics to evaluate how well states are assisting people with intellectual and developmental disabilities in the community.' disabilityscoop.com/2022/03/…
Applied Self-Direction retweeted
Great paper from Australia on benefits of self-management in LTCS for older people from Carmel Laragy @UniMelb Helpful 4 #UNICproject @SDSNetwork @EuroAgeingNet @EASPD_Brussels @Avivolivelife @AppliedSD @radicalvisions_ @citizen_network @CitizenForward onlinelibrary.wiley.com/doi/…
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"In a traditional services model, activities and opportunities are determined by the agency...In self-direction, the disabled individual sets up a Person-Centered Plan, which allows them to... plan their own days, decide where they’d like to live, and choose their own staff."
ON OUR BLOG: "Living the Life You Want: Self-Directed Services 101" explores how HCBS waivers help people with disabilities get the supports they need to live in their communities. #disabilityinclusion littlelobbyists.org/blog/202…
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Applied Self-Direction retweeted
Home Health Aide Shortage Leaves Patients Without Care verywellhealth.com/home-heal… via @verywell
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