Self-Directed Care

Self-direction gives you more choice over who gives your services and how you get care.

If you choose to self-direct your services, you employ the person who will give you your services. You are the employer of the caregivers who work for you.

You must be able to do the things that an employer would do, such as:

  • Hire and train your employee.
  • Supervise your employee.
  • Manage your employee's pay and service notes.

If you can’t do the above, you can choose a family member or friend to act as an employer. This person is called an "Employer Representative." Your Employer Representative must be at least 18 years old. They must also know about your care.

Who you can hire for self-directed care

It's important to find the right person for the job. Be sure you trust and feel comfortable with this person. The person will be helping you in your home so you can stay in your home and community.

Here are some guidelines to think about when hiring someone to help you. Your employee must:

  • Be at least 18 years old.
  • Have the skills necessary to perform the required services.
  • Have a valid Social Security number and be willing to complete a criminal record check.

If you are interested in self-directed care, talk with your case manager. If you want to stop self-directed care, call your case manager at 1-844-623-7090 24 hours a day, seven days a week.