Self-Directed Care

What is Self-Direction?

Self-Direction or self-directed services means that participants, or their representatives if applicable, have decision-making authority over certain services and take direct responsibility to manage their services with the assistance of a system of available supports.

Who is appropriate for Self-Direction?
  • Desire to have control of decisions regarding care
  • Understanding of service specifications
  • Ability to manage decisions and verbalize decisions
  • Ability to be the “Employer”
  • Strong problem solving skills including ability to interview, hire, train, supervise and terminate employees
  • Safe and stable living environment
  • Strong and stable back-up plan
  • Agree to work with a Fiscal Management Service
  • Member may have a Self-Directed Authorized Representative act on their behalf
Self-Directed Service Option
  • §  Member and Case Manager decide what services are needed based on assessment

    §  Member locates providers with assistance from case manager

    §  Member participates in the application process with assistance from case manager so that provider can be certified

    §  Prospective provider becomes certified as a Choices Home Care Attendant or Consumer Directed Personal Care Aide

    §  Member dictates schedule based on assessed need

    §  Member hires, trains and manages employee

    §  Member addresses service issues directly with employee

    §  Case Manager monitors quality of service and satisfaction

    §  Member must continue to have a strong back-up plan

What is involved in the process to become certified to provide care?

Complete the online application at

  1. At the top, click on “for agencies & service providers”
  2. On the left, choose “certification”
  3. Scroll to the middle of the page, click “Individual provider: Choices Home Care Attendant”
  4. Scroll to the bottom and click “Create account”
  5. Set Up Account – OH/ID and My DODD access
  6. Follow the instructions
  1. After submission of your online application and all necessary documents you may check your application status at 1-800-266-4346.
  2. Your application will be forwarded to Direction Home Akron Canton Provider Relations Department for review.
  3. You will be contacted by a Direction Home Akron Canton Provider Relations person for a pre-certification interview.
  4. After the interview you will be mailed a contract to complete and it must be completed and returned to Direction Home

PHASE 3 – can be completed with the help of Direction Home
Financial Management Service payment information: YOU NEED TO BE PAID!!

  1. Contact Direction Home at 330-899-5368 or 330-899-5377 to explain that you have completed PHASE 2 of this process.
  2. You and your Employee (the person receiving service) must enroll with the Financial Management Service (FMS). The FMS is Public Partnerships, LLC. (PPL)
  3. DHAD staff will assist with enrollment process to the FMS.
    1. Schedule home visit with DHAD staff, provider, individual
    2. Sign enrollment forms
    3. Negotiate Rate of Pay
  4. An Enrollment Specialist from PPL will contact you and the member to assist with the remainder of the enrollment steps to PPL.
  5. You can bill for services when “Good to Go” is received and the service plan is authorized by the case manager

If you are interested please contact Direction Home at 1-800-421-7277 for more information regarding the Self-Directed process.