Document Type


Publication Date



Disability and Aging, Cutler Institute, USM Aging Initiative, Policy


As a part of the grant activities of the Real Choice Systems Change grant from the Centers for Medicare & Medicaid (CMS), the need for a survey of consumers on the Consumer Directed Physically Disabled Waiver (also called the Consumer Directed or CD Waiver) was identified. This report provides the results of the in-home survey that was conducted by the Muskie School. The CD Waiver serves people age eighteen and older with severe physical disabilities that meet nursing facility level of care, are their own guardian and have the ability and desire to self-direct the personal care services they receive in their home. The waiver is an alternative option to institutional care and consumers choosing community-based care are informed of the risks and limits to the care available in the community benefit. Unlike nursing facilities, twenty-four hour a day care is not available within the program limits. The results of the survey identified some areas of focus and opportunities for increased training.


This report was prepared under Cooperative Agreement No. 10A-202007 between Muskie School of Public Service and Maine Department of Health and Human Services.

The contents herein do not necessarily represent the policy of the U.S. Department of Health and Human Services, and you should not infer endorsement by the federal government.

Funding Organization or Grant

This document was developed under Grant No. P-921540/1 from the U.S. Department of Health and Human Services, Centers for Medicare & Medicaid Services.