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Comparison
Person Centered
Planning in MedicaidMaryland
Commonalities or
Clarification in
Characteristics
Supported
Decision Making
(overall
paradigm)
Those providing
support- is there
a specific role for
this?
Supporters
Relationship of
Roles to the
Individual
Depends on the
specific
application of
SDM; generally
natural, unpaid
supports are
standard.
Within
Representation
Agreements,
Representatives,
alternate
representatives,
and the monitor
are entitled to be
reimbursed for
reasonable out-ofpocket expenses
related to
carrying out their
duties. -From
this link.
Criteria to use?
To be applicable for
DDA services, one must
fit certain criteria within
certain categories; one
Supported
decision making,
though a broad
paradigm, is
adaptable to the
individual,
regardless of
extent or type of
disability.
Person Centered
Planning is used within
Medicaid as required in
order to receive
services.
Supported
decision making is
used more broadly
in life planning.
Steps?
Both rely on a
reasonable, timely
method or sequence that
will progress an
individual towards their
outcomes.
Certain defined
tools can be used
within PCP,
though not all
models within
person centered
planning have as
defined steps or
methods of
approaching SDM
as others.
Employment/
Financial
Aspects
Financial
supporters or
supports that
enable the
individual to work
with finances with
help exist, not the
same emphasis on
employment.
Oversight
Overall Focus
Independence, as well
as enabling more
experiences that are
within the whole of
society. Individual areas
person needs to work
with. Definition of
person centered
planning fits with
support decisions
In accordance
with individuals
wishes, promote
social model of
disability and
recognition of
equality from
persons with
disabilities to
those who are
viewed as ablebodied.
Tools Used?
MAPS, PATH,
Essential Lifestyle
Planning, etc.
Organization and
structure
Varying; some
tools are
attempting to be
developed, but
mostly informal
up to now; legal
formalized tools
are indevelopment.
Any Specific
Roles?
Support Broker,
Financial Management
Services, Resource
Service Coordinator.
Go to slide 22 of this
link to see a general
look at PCP roles.
Background check of
roles, certain roles may
receive training.
Depending on the
model, roles may
be more defined.
Within the
Representation
Agreements in
British Columbia,
for example, roles
are specified as
supporters
(representatives
and alternate
representatives),
those receiving
support, and those
to safeguard the
process
(monitors). See
this link for more
information.
Supporters are not
given background
evaluations; no
specific training.
Final Evaluation:
Person Centered Planning in Medicaid in Maryland
According to the resource this researcher evaluated, the PCP process is continually being
modified and has faults within it. The process is hopefully being improved in-process and since
the date of publication of that resource. Though the defined nature of the PCP in Medicaid roles
and process is strong, the limitations it places on the individual may be slightly more restraining
than supported decision making as a paradigm overall.
Note on Supported Decision Making:
Person Centered Planning can actually fit within supported decision making if done properly,
which is part of this evaluation, to ascertain whether it has been done/is recommended to be done
within policy to the standards of legal capacity supported decision making follows.