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activities administrative Agency with Choice aides ance Ashgate assistive technology attendants autonomy beneﬁts Brandeis University Cash and Counseling cash benefit CD-PAS programs CD—PAS Center CHCA chronic conditions consumer direction Consumer-Directed Personal Assistance cost Demonstration develop Developmental Disabilities Doty Durable Medical Equipment eligibility employer of record employment taxes Evaluation Family caregivers federal Flanagan ﬂexibility funds grams healthcare hire home care benefits home health ices income independent living individuals Institute Intermediary Service ISO model ISO’s issues Leutz Litvak long-term care long-term services Medicaid Medicaid clients Medicare ment National needs nursing home options Paraprofessional participants Payments payroll personal assistance services persons with disabilities Ph.D Pijl profes professionals PWD’s receive recipients responsibility serv service delivery service providers social sumer-directed sumers supportive services tion Ungerson Eds Vendor Fiscal ISO Virginia waiting list waiver workers