Advocates urge Alaska to adopt Medicaid self-direction so participants can hire and manage their own caregivers Maggie Winston and Center directors argued Alaska remains the only state without a Medicaid self-direction program and outlined steps—including technical assistance, a March 24 community leaders training, and community forums—to design a participant-directed model building on the existing VA-funded VOICE program.

Alaska is the last state without a Medicaid self-direction program, but advocates are rallying for change to empower individuals to choose and manage their own caregivers!

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