Adequate oversight of the delivery of personal care services in participant-directed programs is vital so that members’ individual service plans are carried out correctly and prevent fraud and abuse. However, monitoring the provision of services in participant-directed programs can be challenging because of discretion participants have to control and adjust the timing, level and type of services they receive. This brief is intended to assist your health plan in overseeing participant-directed services while protecting the rights of participants to manage their own services and assume autonomy.