Massachusetts Real Choice Pilot Evaluation

Launched in 2004, Flexible Services and Supports (the Pilot) gave participants control in calculating an individual budget where they then purchased services and goods to meet their community living needs. What were the experiences that provide lessons for the design and implementation of this model on a larger scale? This report reviews: design issues and implementation barriers, makes recommendations for future work, and describes any financial impacts of the Pilot on Medicaid utilization.