Consumer directed care means the consumer chooses their own care providers rather than a state agency dictating what care is required, by whom, and when that care is delivered. Generally speaking, by putting the consumer in charge of their own care, the consumer receives higher quality care, which is customized for their needs, and enjoys greater flexibility, control, and satisfaction from the care they receive. Theoretically, consumer directed care also generates cost savings for each of the states, as they are relieved of providing some care management services.