Cdass Self-direction Colorado -

CDASS, self-direction, Colorado Medicaid, HCBS waiver, personal care, disability rights, independent living 1. Introduction The independent living movement of the 1970s and 1980s, led by disability rights advocates, fundamentally challenged the assumption that people with disabilities require institutional or agency-controlled care to live safely. One of the movement’s central demands was the right to self-direct personal assistance services—hiring, training, and managing one’s own attendants. Colorado emerged as a national leader in this effort through its Consumer-Directed Attendant Support Services (CDASS) program, established in the late 1990s.

[Your Name] Institution: [Your University/Organization] Date: [Current Date] Abstract Colorado’s Consumer-Directed Attendant Support Services (CDASS) program represents a paradigm shift in long-term services and supports (LTSS). Established under the state’s Medicaid Home and Community-Based Services (HCBS) waiver, CDASS allows eligible individuals with disabilities and chronic conditions to recruit, train, schedule, supervise, and dismiss their own personal care attendants. This paper examines the legislative origins of CDASS, its operational framework, fiduciary intermediary roles, participant rights and responsibilities, and comparative outcomes relative to traditional agency-directed care. Drawing on program data, state reports, and participant surveys, the analysis highlights increased consumer satisfaction, reduced unmet care needs, and cost neutrality or modest savings. However, challenges persist, including administrative burden on participants, workforce shortages, and access for individuals with cognitive or communication disabilities. The paper concludes with policy recommendations to expand access, strengthen backup systems, and integrate CDASS principles into broader LTSS reform. cdass self-direction colorado

Title: Empowering Consumers through Self-Direction: An In-Depth Analysis of Colorado’s CDASS Program Colorado emerged as a national leader in this