---
kind: "section"
citation: "42 C.F.R. § 441.452"
title: "42"
number: "441.452"
heading: "Self-direction: General."
url: "https://uscodex.org/cfr/42/441.452"
---

# §441.452. Self-direction: General.

- (a) States must have in place, before electing the self-directed PAS option, personal care services through the State plan, or home and community-based services under a [section 1915(c)](/cfr/42/1915.md?p=c) waiver.
- (b) The State must have both traditional service delivery and the self-directed PAS service delivery option available in the event that an individual voluntarily disenrolls or is involuntarily disenrolled, from the self-directed PAS service delivery option.
- (c) The State's assessment of an individual's needs must form the basis of the level of services for which the individual is eligible.
- (d) Nothing in this subpart will be construed as affecting an individual's Medicaid eligibility, including that of an individual whose Medicaid eligibility is attained through receipt of [section 1915(c)](/cfr/42/1915.md?p=c) waiver services.

## Notes

### Source

Source: 73 FR 57881, Oct. 3, 2008, unless otherwise noted.

### Authority

Authority: 42 U.S.C. 1302.

### Source

Source: 43 FR 45229, Sept. 29, 1978, unless otherwise noted.