The Medicaid Program Nobody Understands

We're Cindy and Jamie — both healthcare burnouts who somehow ended up building something better.In this episode, we're starting at the beginning: what self-direction actually is, why almost nobody understands it, and how we ended up here after years of 24/7 on-call chaos.We also get into the IRIS waiver changes coming in 2026 that could pull the safety net out from under thousands of Wisconsin participants (and nobody's talking about it yet).If you've never heard of self-direction, start here.New episodes weekly. Learn more at communityhorizonsllc.com.Follow us on Facebook: www.facebook.com/communityhorizons