Medicaid choice starts before services begin. A directory must be more than a file hidden somewhere. Build a six-field choice receipt: the complete current provider list; date delivered; accessible format; providers qualified and willing; the person's selection; written reasons for limits. Federal Medicaid rules generally protect a beneficiary's choice among qualified providers willing to furnish covered services, subject to exceptions. HCBS person-centered planning must reflect the individual's preferences and informed choices. Disability communication duties can require effective, usable information. But a missing name, referral pattern, delay, or incomplete list does not by itself prove steering, discrimination, retaliation, fraud, or an Olmstead violation. Compare the official directory, qualification records, availability, plan, notices, and grievance response. Read the claim-safe checklist at david-medeiros.com/provider-directory.