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Maryland

Self-direction: choice, support and responsibilities

Self-direction offers people greater control over how authorized supports are arranged, alongside responsibilities associated with their service budget and employment arrangements. Ask the CCS how the model works in the person’s situation. Discuss what the person wants to manage, where support is needed, and the roles of a Support Broker and Financial Management and Counseling Services (FMCS). Maryland self-direction requires FMCS participation; using a Support Broker is optional. Ask the CCS how those roles apply.

Before hiring or changing an arrangement, ask who approves it, which documentation is required and what the current process is. Agree how schedules, training, invoices and backup support will be organized. Self-direction should support the person’s choices, including communication and participation in decisions. Do not use a website example as authorization to change wages, hours or a budget.

Official sources

Sources checked:

Program rules and dates can change. Read the linked official guidance before applying or changing support arrangements.

These educational resources cover many locations. They do not describe Fusa’s service area, accepted funding or an individual’s eligibility. Confirm those details separately with the agency and the responsible program.

Self-direction: choice, support and responsibilities | Fusa Behavioral Health