· The central organizing goal of system reform
must be to assist individuals with disabilities to live full, healthy,
participatory lives in the community.
· Managed care systems must be designed to
support and implement person-centered practices, consumer choice, and consumer-direction.
· For non-elderly adults with disabilities
employment is a critical pathway toward independence and community integration.
Working age enrollees must receive the supports necessary to secure and retain
competitive employment.
· Families should receive the assistance they
need to effectively support and advocate on behalf of people with disabilities.
· States must ensure that key disability
stakeholders — including individuals with disabilities, family members,
support agency representatives, and advocates — are fully engaged in
designing, implementing and monitoring the outcomes and effectiveness of
Medicaid managed care services and service delivery systems.
