Consumer-Directed Services


Consumer-Directed Services under a Medicaid Waiver, is just as it states.  The consumer directs the services  or supports that you wish to use, such as attendant care, respite care or companion care.   This means that you are in charge of hiring and training your aides.    You have complete control. 


When directing your own supports (consumer direction) you will need a Service Facilitator (SF).  The SF, or SF company, such as Toddlers to Grandparents, LLC, will put all of the pieces of the puzzle together for you!    We will make all of the calls and submit the necessary paperwork thus assisting you (or your family member) by making sure that the supports listed in your plan of care (personal assistance, respite and/or companion) are developed and monitored.

OK, I choose Consumer-Directed Services, what’s next?


Toddlers To Grandparents will send to you a Service Facilitator (SF) to conduct an Initial Comprehensive Visit and also the Initial Comprehensive Training.  Your SF will explain how the entire world of consumer directed services works!


More specifically, a SF does the following:


  • Ongoing reviews and annual assessments that you and DMAS (Department of Medical Assistance) require.

  • Makes sure that you are approved and preauthorized for all of the supports you need and that these supports are on your plan of care.

  • Provides you with the DMAS Consumer-Directed Employer Manual.

  • Sets you or your designated individual up as the Employer of Record (EOR) with Public Partnerships (PPL).

  • Teaches you the tasks required of an employer.  This includes how to fill out required paperwork for your attendant and complete timesheets to get your attendant paid.

  • Submission annually for re-authorization of attendant hours.

After the initial training, your SF continues to work for you behind the scenes making sure your authorizations are in place and things are running smoothly.


While we are busy with the above, you can begin hiring and scheduling your attendants!


Your SF cannot be you, your spouse, your parent (if you are a minor) or a family member or caregiver who is also the CD Employer of Record.


For families whom have a child with a disability, the daily routine is challenging and exhausting.


For our aging parents, retaining control over their lives is an ongoing challenge.