What happens when the day program closes and nobody tells you what’s next Nearly three in ten disability service providers discontinued programs because they could not staff them. There is...
What Direct Support Professionals Wish Families Knew (And Vice Versa) The DSP workforce crisis gets discussed constantly in policy terms, wages, turnover rates, funding formulas. What almost never gets discussed...
What Maine’s billion dollar hole teaches Michigan Community based support costs roughly a third of institutional care, generates more economic activity per dollar than most state spending, and is the...
The CMS Access Rule: 5 new requirements that could transform HCBS if they survive A 2024 federal rule tells states how much of your adult child’s service dollar has to...
The ARPA cliff: what happens now that the emergency HCBS money is gone States planned to spend an estimated $37.1 billion on home and community based services, most of it...
Self-direction as a survival strategy: when you can’t find a worker, become the employer Every state and the District of Columbia now offer some form of consumer-directed personal care. In...
Respite care for high-support adults: finding and training providers The worker who lasts is the one you train slowly, pay fairly, and trust with a hard week. Here is how...
Twenty one years, 35 percent, and the gap that ate the workforce Kansas put the numbers side by side and the arithmetic is unforgiving. Provider rates rose 35.2 percent. Consumer...
Michigan pays direct care workers $17.13. Illinois pays $21.30. Same labor market, same year, same job. A four dollar and seventeen cent gap that Michigan rebuilds by hand every single...
How caregivers become unpaid DSPs Nobody hands you a job offer. The direct support shift just goes uncovered long enough that you pick it up yourself, and then it never...
