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Everything Self -Directed Start here 

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Self-direction has many different names, but they all mean the same thing: you choose who provides your long-term care and how you’d like to receive it. GT Independence is here to help you live the life you choose. We’ll help you get set up to hire in-home or community-based caregivers and then take care of the taxes and paperwork for you.

Our Mission: To promote and support the use of self-directed services to empower individuals with developmental disabilities to achieve purposeful and fulfilling lives.

We advocate for equity and access for people with intellectual and developmental disabilities to live self-determined lives and foster opportunities towards self-sufficiency.

DDA Vision

People with developmental disabilities will have full lives in the communities of their choice wh​ere they are included, participate, and are active citizens.

DDA Mission

Create a flexible, person-centered, family-oriented system of support so people can have full lives.​

Public Partnerships | PPL supports you and your family in that choice to remain in your home and community. As Medicaid law in most states prohibits direct cash payments, our role as a Financial Management Service (FMS) provider, is to help you in your role of the employer of your own support workers.  We assist you in hiring, paying for your choice of support workers and services, all within your state-approved personalized spending budget and local rules. We are the largest with 20 years of experience.

The Maryland Developmental Disabilities Administrations (DDA) supports participants' rights to self-determination and choice to self-directed their services. Self-determination means making your own choices, learning to effectively solve problems, and taking control and responsibility for one's life.   People with intellectual and developmental disabilities have the same right to self-determination as all people and are entitled to the freedom, authority, and support to exercise control over the things in their life that are important to them, to the degree that they desire. Practicing self-determination also means one experiences the real life outcomes of making choices, both positive and situations that help us grow.  This right to self-determination exists regardless of guardianship status.

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Learn more about the opportunities listed here. These opportunities are provided first to Consulta's clients. If you are interested in applications found on our website please contact our direct support team at