If not, I need more attendant care for the rest of my life. That's a pretty important improvement. There is a case management requirement under any MA waiver. We could only start implementing this in January of 1997, but it is working well so far. CILs are an important part of this work.
Counselors are, for the most part, people with disabilities.
Under this waiver, they must also receive training in IL philosophy, self-direction, and a number of other issues that we felt were important. And we did. The key thing there is for local groups to get involved with their HCFA people. Play them off against your state people. Right now, anything that's reasonable and makes sense, HCFA will approve.