Self-Direction is a method of receiving home and community-based services where the consumer is the employer. The consumer can have budget and/or employer authority. Budget authority empowers consumers to set the hourly rate for their self-directed caregivers and set budgets for goods and services. Employer authority empowers consumers to hire caregivers who they screen and choose.
Self-Direction was an option in some of the waivers prior to October 2024, but it was not an option at all in the Ohio Home Care Waiver. Furthermore, for the waivers where it was an option, it was not a true self-directed option. About a year and a half ago, the Ohio Department of Medicaid created a workgroup consisting of consumers, advocates, and providers to create a consistent model for self-direction across waivers. I have been a member of this workgroup since the inception.
Starting October 1, 2024, consumers on Ohio Home Care Waiver were able to enroll. As a consumer of the Ohio Home Care Waiver and advocate for self-direction, I started the process of enrolling. Thus far, it has been a positive experience. I was able to complete the enrollment process online and “hire” my caregivers/PCAs online as well. The process is not over, but I am hopeful to have everything up and rolling by the end of October.
If anyone is interested in learning more about Self-Direction and how it may be appropriate for you, please do not hesitate to contact me at lmarn@sil-oh.org or by phone at (216) 389-0379.
You can also learn more on Ohio Department of Medicaid's website.
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