Washington DC Participant Directed Goods Services Agency Policy Manual

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The Washington D.C. Participant-Directed Goods and Services Policy Manual provides a comprehensive operational framework for the delivery of goods and services chosen and managed directly by eligible individuals with disabilities and seniors across the District of Columbia. This manual aligns with the regulations established by the D.C. Department on Disability Services (DDS), including the Developmental Disabilities Administration (DDA) and the Aging and Disability Resources Center (ADRC), and complies with Medicaid Home and Community-Based Services (HCBS) waiver requirements that support participant-directed models.
The manual includes policies and procedures governing participant eligibility for self-direction, development of individualized budgets and spending plans, permissible goods and services (e.g., adaptive equipment, specialized therapies, environmental modifications not covered by other means, technological supports), vendor selection and procurement processes, financial management services (FMS) oversight, participant and representative responsibilities, documentation and accountability, and grievance processes. It emphasizes empowering individuals with greater choice, control, and flexibility over their supports and services, fostering independence and enabling them to live full and meaningful lives in the community. This manual serves as a foundational resource for participants, families, support brokers, and financial management service providers in Washington D.C., ensuring the transparent, compliant, and effective utilization of participant-directed funds.