This term refers to the act of providing services to a person with a disability in a manner that results in the greatest amount of freedom to make choices and act autonomously, to participate in one’s community and interact with people who do not have disabilities, to experience meaningful relationships, and to be free of restrictions imposed by environments or the method of service provision. The concept encompasses the notion that providing enabling supports, including assistive technology, can reduce or eliminate the need to provide services in a more limiting environment.

Corrected visual acuity of 20/200 or less in the better eye or visual field contraction of 20 degrees or less.

LMEs are agencies of local government-area authorities or county programs-who are responsible for managing, coordinating, facilitating, and monitoring the provision of mental health, developmental disabilities, and substance abuse services in the catchment area served. LME responsibilities include offering consumers 24/7/365 access to services, developing and overseeing providers, and handling consumer complaints and grievances.