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Developing & Implementing Participant Direction Programs & Policies: A Handbook

The Handbook is a guide for State staff in Aging and Disability service systems who are interested in and/or responsible for designing and implementing participant direction programs. Please note, some of the links at the end of each chapter may have changed.  We are in the process of updating the Handbook.  All Cash & Counseling materials can now be found at

Download Full Handbook (PDF), 296 pages, 3.86 MB