LEARN MORE ABOUT SELF-DIRECTION

LEARN MORE ABOUT SELF-DIRECTION

Self-Direction: Take Control of Your Support at Home

Self-direction, also called consumer-direction, helps people with disabilities or other long-term care needs stay independent and safe in their homes and communities.

Why Choose Self-Direction?

Self-direction is a flexible, cost-saving alternative to nursing homes or other traditional care. It helps you stay in your home and your community, where you’re most comfortable.

You are in charge. You choose someone you trust to help—like a family member, friend, or someone in your community.

This is different from traditional care, where an agency assigns your caregiver. With self-direction, you make the decisions.

Freedom to Choose


Pick the caregiver who best meets your needs.


Care at Home

Get support right where you live.


Personalized Help


Set your schedule and choose the tasks you need help with.


Trusted Support


Hire someone you know, like a friend or family member.

Freedom to Choose


Pick the caregiver who best meets your needs.


How Does It Work?

With self-direction, you or someone you trust can decide:

  • Who helps you
  • When they help
  • What kind of help you need

You may also help decide how your Medicaid funds are used, giving you more control and flexibility.

What Is a Financial Management Services (FMS) Provider?

Consumer Direct, a Financial Management Services (FMS) provider, helps with:

  • Paying your caregivers and handling taxes
  • Training support to meet Medicaid requirements
  • Tracking your spending to stay within your budget
  • Helping with paperwork and questions


Think of your FMS provider as a partner behind the scenes, so you can focus on living your life.

Can I Use Self-Directed Care?

You may qualify if:

  • You are on Medicaid
  • You have a disability or long-term health condition
  • You’re paying privately for care


Contact us to find out how to get started with self-direction.

I want to enroll or help my Participant enroll in services.

Review eligibility requirements or contact your local VA office.

I want to hire an Attendant/Caregiver.

If you have questions about hiring an Attendant/Caregiver, please call our CDCO team Monday-Friday, 8am-5pm, at 833-494-2710.

I want to enroll as an Attendant/ Caregiver.

If you have questions about becoming an Attendant/Caregiver, please call our CDCO team Monday-Friday, 8am-5pm, at 833-494-2710.

Will the holidays affect my pay?

Please review the Payroll Calendar for pay periods. Ask your bank about holiday schedules.

When will I be paid/when is my next pay date?

Please review the Payroll Calendar for pay periods.

How can I access my pay stub or W-2? 

Pay stubs, pay history, and W-2s are available on ADP.

Where can I find my paid leave accrual amount? 

Paid leave accrual amount is located on your pay stub, which is available on ADP.
Create your own user feedback survey

How does paid leave accrue?

Attendants/Caregivers accrue one hour of paid leave for every 30 hours worked.

How much paid leave can I earn and use in a year?

Attendants/Caregivers can earn and use up to 48 hours per calendar year.

I'm a Veteran/Authorized Representative.

I'm an Attendant/Caregiver.

Where can I find Vendor information?

Visit the Vendor section of our Forms page to find Vendor payment information.