About Maryland's Self-Directed Services

What is Self-Direction?

Self-Direction empowers Marylanders with IDD by allowing them to customize their care, hire their own support staff, and control their budgets, rather than relying on traditional service providers. It gives individuals the flexibility to live independently, work, and engage in the community in a manner that provides them an opportunity to thrive on their own terms.

Who Benefits from Self-Direction?

• 3,600+ Marylanders self-direct their services, tailoring their care to meet unique needs.
• 20,000 individuals and families rely on IDD services, many of whom would be forced into institutional settings without Self-Direction.
• Local businesses, Direct Support Professionals (DSPs), and community vendors all benefit from the flexibility and employment opportunities generated by Self-Direction.

Legal Protections for Self-Direction

• Olmstead Decision - 1999: This Supreme Court ruling affirms that individuals with disabilities must receive services in the most integrated setting possible. Self-Direction fulfills this promise by helping individuals stay in their homes and communities.

•Self-Direction Act of 2022:  This bill ensures that coordinators of community services are trained on self-directed services and must educate individuals on all service options, including self-directed, traditional, and provider-managed. It also requires DDA to provide defined self-directed services, seek federal approval and funding for overnight supports, and report on use and fiscal impact.

More resources can be found here.

Self-Direction Success Stories

Tanika

I am 36 years old. I have Cerebral Palsy, seizure disorder and an intellectual disability. I am completely dependent on my staff to assist me with all activities of daily living. I enjoy Theatre, Church, bowling, cheerleading, swimming and any activities related to Disney. I love spending time with my family and friends. 

Timmy

Timmy is the boss, with the choice to participate in SDS, a plan and budget to guide his support, people who love and work for him to provide high-quality care, and meaningful activities that fill his day.