# Medicaid Program; Self-Directed Personal Assistance Services Program State Plan Option (Cash and Counseling)
> **Centers for Medicare and Medicaid Services** · Final rule. · Published 2008-10-03 · Effective 2008-11-03 · 73 FR 57854
## Document
- **Document number:** E8-23102
- **Category:** medicaid
- **Sub-agency:** Centers for Medicare and Medicaid Services
- **Federal Register citation:** 73 FR 57854
- **CFR reference:** 42 CFR 441
- **Publication date:** 2008-10-03
- **Effective date:** 2008-11-03
- **HHS docket:** CMS-2229-F
## Abstract

This final rule provides guidance to States that want to administer self-directed personal assistance services through their State Plans, as authorized by the Deficit Reduction Act of 2005. The State plan option allows beneficiaries, through an approved self- directed services plan and budget, to purchase personal assistance services. The rule also provides guidance to ensure beneficiary health and welfare and financial accountability of the State Plan option.

## Source
- [Federal Register document](https://www.federalregister.gov/documents/2008/10/03/E8-23102/medicaid-program-self-directed-personal-assistance-services-program-state-plan-option-cash-and)
---
*AI Analytics · CC0 1.0*