FAQs

  • 1. What is Self-Direction?

    Self-Direction is a service model that empowers individuals with developmental disabilities to have increased choice and control over the supports and services they receive. It allows participants to tailor their services to their personal needs, preferences, and goals, promoting greater independence and community involvement.

  • 2. Who is eligible for Self-Direction services?

    Individuals who are eligible for services through the Office for People With Developmental Disabilities (OPWDD) and are enrolled in the Home and Community-Based Services (HCBS) Waiver can choose to self-direct their services. This option is suitable for those who can make their own decisions or have a representative to assist them.

  • 3. What roles do a Fiscal Intermediary (FI) and a Support Broker play in Self-Direction?

    A Fiscal Intermediary (FI) provides administrative and billing support, assisting with managing budgets, processing payments, and ensuring compliance with regulations. A Support Broker helps individuals develop and implement their Self-Direction plans, offering guidance on selecting services and managing budgets.

  • 4. Can family members be hired as staff under Self-Direction?

    Yes, in some cases, family members can be hired to provide support services. However, certain restrictions apply, and it’s essential to discuss this option with your Support Broker and FI to ensure compliance with program guidelines.

  • 5. How does budgeting work in Self-Direction?

    Participants work with their Support Broker and FI to develop an individualized budget based on their assessed needs and goals. This budget outlines the allocation of funds for various services and supports, providing flexibility while ensuring adherence to program requirements.

  • 6. What types of services can be included in a Self-Direction plan?

    Services may include, but are not limited to, community classes, employment supports, respite services, transportation, and assistive technology. The specific services are chosen based on the individual’s preferences and needs.

  • 7. How do I get started with Self-Direction?

    To begin, attend a Self-Direction information session offered by your local Developmental Disabilities Regional Office (DDRO). Following this, you’ll collaborate with your Care Manager, Support Broker, and FI to develop a personalized plan and budget.

  • 8. Can I transition back to traditional services if Self-Direction isn’t the right fit?

    Yes, participation in Self-Direction is voluntary. If you find that Self-Direction doesn’t meet your needs, you can work with your Care Manager to transition back to traditional service models.

  • 9. What is the difference between Employer Authority and Budget Authority in Self-Direction?

    In Self-Direction, Employer Authority allows individuals to recruit, hire, train, and supervise their own support staff, giving them control over who provides their services. Budget Authority enables individuals to manage and allocate funds within their approved budget to purchase the supports and services they need, offering flexibility in how resources are utilized.

  • 10. Are there services that cannot be self-directed?

    While many services can be self-directed, certain services may only be available through traditional agency models. For instance, some clinical services or therapies might require agency oversight due to regulatory requirements. It’s essential to discuss with your Care Manager and Support Broker to understand which services can be self-directed and which cannot.

  • 11. How are self-hired staff compensated in Self-Direction?

    Individuals with Budget Authority can determine the compensation for their self-hired staff within the limits set by their budget and any applicable state guidelines. The Fiscal Intermediary assists in processing payments and ensuring compliance with wage regulations.

  • 12. What happens if I over-expend my Self-Direction budget?

    It’s crucial to monitor your spending to stay within your approved budget. If an over-expenditure occurs, you should work with your Support Broker and Fiscal Intermediary to adjust your services or seek additional funding if justified. Consistent over-expenditure may require a reassessment of your needs and budget.

  • 13. Can I switch Fiscal Intermediaries or Support Brokers if I’m not satisfied?

    Yes, you have the right to change your Fiscal Intermediary or Support Broker if you feel they are not meeting your needs. It’s advisable to discuss any concerns with your current provider first, and if unresolved, seek assistance from your Care Manager to facilitate the transition to a new provider.

  • 14. How does Self-Direction support community involvement?

    Self-Direction allows individuals to allocate funds and choose services that promote active participation in their communities. This can include enrolling in community classes, joining clubs, volunteering, or other activities that align with personal interests and goals, fostering greater community integration.

  • 15. Are there resources available to help me understand and manage Self-Direction?

    Yes, various resources are available, including guides, training sessions, and informational materials provided by OPWDD and other organizations. Your Support Broker and Care Manager can also offer personalized assistance to help you navigate and manage Self-Direction effectively.