A new alternative discussed in Chapter 4 is home and community-based care, which is consumer-directed or self-directed home care.

A new alternative discussed in Chapter 4 is home and community-based care, which is consumer-directed or self-directed home care. The consumer rather than an agency is responsible for hiring home care workers. The federal CMS, under the Real Choice System Change and Independence Plus grants, has provided funds to assist states in implementing these programs. Describe another program discussed in Chapter 4 available to the elderly population.