Guardianship in a
The DD service delivery system is increasingly turning to Medicaid
to pay for many services. Medicaid often likes to deal with someone they
consider to be a legally responsible party. If Medicaid officials doubt
the competence of someone with mental retardation, for example, to speak
for himself, they may insist that the person be represented by a guardian.
Medical providers, too, often will refuse to accept consent from someone
with a disability.