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Elderly or Disabled with Consumer Direction Waiver (EDCD Waiver)

Consumer-Directed Employer of Record Manual

This waiver allows the young and the old who require assistance with activities of daily living and instrumental activities of daily living, the help they need in order to live in their own homes, in their community.


There are two parts to this process.

  1. Waiver Screening

  2. Medicaid Application 

Please Click on ANY of the ICONS to the LEFT to begin download.


How to I begin the process?


Call your local Department of Social Services (DSS) or Department of Family Services (DFS) and ask for the long-term care division and request a screening for the EDCD Waiver.


  • A representative of DSS and a nurse from your local Health Department (DOH) will come to your home to complete the assessment.  

  • The individual being screened must be present.  This assessment could take a couple of hours, so be sure to make enough time in your schedule.  

  • The screening team will ask questions so that they can complete the UAI (Uniform Assessment Instrument).    

  • They will be looking for 4 things;

    1. A Disability

    2. Functional Dependencies

    3. Medical / Nursing Needs

    4. Risk for Nursing Home Placement


Please see the Pre-Admission Screening Manuel, Appendix B for details.


What criteria needs to be met?


You must qualify in 2 areas AND be at risk for nursing home placement:


  1. Functionally: Must meet a level of dependency across various areas such as:

    • Activities of Daily Living (ADL’s)

      • Needs physical assistance, supervision or prompting with bathing dressing, toileting, etc.

    • Instrumental Activities of Daily Living (IADL’s)

      • Requires physical assistance, supvision or prompting with things like cooking , cleaning, shopping, laundry, etc.

    • Orientation:  Disoriented always or at times to person, place, time.

    • Behavior:  Aggressive or disruptive behavior.

  2. Must have Medical / Nursing Needs:

    • Multiple complex interrelated conditions

    • Unable to self-assess or monitor

    • Respiratory therapy

  3. Must be At Risk For Nursing Home Placement:  Individual’s current condition and available supports are insufficient to enable the individual to remain in the home.  

    • Deterioration in individual’s condition or change in support prevents needs from being met:

      • Change in family situation (new child, deployment, new demands from other family members)

      • Medical condition worsening

      • Behaviors increasing

    • No change in condition or support, but evidence that functional, medical or nursing needs are not being met:

      • Not able to potty train

      • Unable to manage all therapies


Please Understand When Department of Social Services asks you to define “Imminent Risk” the regulation DOES NOT REQUIRE that a family put the individual in a nursing home if they don’t get help.


  • The individual meets the Imminent Risk criteria if:

    1. They have been accepted to a nursing home.

    2. Even if their health is NOT deteriorating, if a doctor certifies that they have health care needs that cannot be met at home without additional services.

    3. Their health is deteriorating such that they WILL require nursing home placement in 30 days.


I am approved, now what?


Select a model of service.

  • Agency Care

    • Your choice of Agency

    • They will place their choice of staff with you


  • Consumer Directed Care

    • Your choice of Providers for your Service Facilitator.  We hope you choose Toddlers to Grandparents.  If you select us, please contact our receptionist to start the intake process!

    • Your Service Facilitator will be there to help with all of the paperwork involved and to keep services going for you.

    • You are in charge.  You hire, schedule and train your own attendants.​

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