The State of America's Direct Support Workforce Crisis 2026

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Fact Sheets

Public Health Emergency Flexibilities

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This fact sheet outlines common flexibilities utilized during the COVID-19 Public Health Emergency (PHE).
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Use this fact sheet to differentiate between common flexibilities utilized under Appendix K of the 1915(c), Section 1135, and Medicaid Disaster Relief State Plan Amendments (SPAs).

More Resources

Partner Resources
From Strategy to Action: Executing New I/DD Revenue Opportunities
Fact Sheets
Access Rule and Budget Reconciliation Law Implementation Timeline
Research & Reports
The State of America’s Direct Support Workforce Crisis 2025
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