TL;DR: While often viewed merely as payroll processors, Self-Direction Fiscal Intermediaries (FIs) act as the critical governance hub that makes participant-directed care viable. As these programs sca[...]
Every publicly funded service industry follows a familiar pattern over time.
When California launched its Self-Determination Program in 2019, most disability advocates didn't bat an eye at the name. But if you work in this space across multiple states, you've probably noticed [...]
Home care scheduling software has become the operational backbone of modern community-based care agencies. As providers navigate caregiver shortages, regulatory complexity, and surging client demand, [...]
In disability services, we often ask ourselves: "Is this person making progress?" But progress toward what, exactly? And how do we know when someone has truly achieved independence in a skill or goal?
California's Self-Determination Program (SDP) gives people real control over how services are delivered. But before any of that freedom becomes real, there's a very practical step that trips up a lot [...]
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