{"data":{"id":"us/42-cfr-441.480","jurisdiction":"us","citation":"42 CFR 441.480","heading":"Use of a representative.","body":"(a) States may permit participants to appoint a representative to direct the provision of self-directed PAS on their behalf. The following types of representatives are permissible:\n(1) A minor child's parent or guardian.\n(2) An individual recognized under State law to act on behalf of an incapacitated adult.\n(3) A State-mandated representative, after approval by CMS of the State criteria, if the participant has demonstrated, after additional counseling, information, training or assistance, the inability to self-direct PAS.\n(b) A person acting as a representative for a participant receiving self-directed PAS is prohibited from acting as a provider of self-directed PAS to the participant.","path":["Title 42—Public Health","CHAPTER IV—CENTERS FOR MEDICARE \u0026 MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES","SUBCHAPTER C—MEDICAL ASSISTANCE PROGRAMS","PART 441—SERVICES: REQUIREMENTS AND LIMITS APPLICABLE TO SPECIFIC SERVICES","Subpart J—Optional Self-Directed Personal Assistance Services Program"],"source_url":"https://www.ecfr.gov/api/versioner/v1/full/2026-08-25/title-42.xml","current_through":"2026-08-25","vintage":"","retrieved_at":"2026-08-27T02:26:11Z","sha256":"83383e00ccd69ce656c461e379a4ca21625b39a24efa0751a404f00c926f7852","source_id":"us-cfr","stale":true,"prev":"us/42-cfr-441.478","next":"us/42-cfr-441.482"},"notice":"GroundRules: Original legal text. Not legal advice."}