Adults With Severe Disabilities: Federal and State Approaches for Personal Care and Other Services

Pursuant to a congressional request, GAO provided information on community-based, long-term care for severely disabled adults, focusing on: (1) the number and characteristics of adults with severe disabilities; (2) the federal assistance available to such individuals; (3) Medicaid coverage of personal care and related services; and (4) how a sample of selected states have implemented Medicaid policies that allow consumers to select their own caregivers, an approach called consumer direction.