Medicaid self-directed care
Services My Way
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- Who qualifies
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People enrolled in the Home and Community-Based Services Waiver for the Elderly and Persons with Physical Disabilities (EPD Waiver) who live in their own private residence or in the home of a family member or friend. Participants can hire, supervise and discharge their own participant-directed workers, who provide participant-directed community support services, and can use a budget for approved goods and services.
The participant, or an authorized representative the participant designates, is the common law employer of the workers. A participant cannot be their own paid worker.
Source: 29 DCMR § 10100, Services My Way Program: General Provisions (District of Columbia Municipal Regulations, as amended October 7, 2022)Checked
- Can a family member be paid
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Yes. Yes. Family members may provide participant-directed community support services, except a participant's spouse, another legally responsible relative, or a court-appointed guardian. Parents of adult children are not legally responsible relatives, so they may provide these services.
Every worker must be at least 18, pass a criminal background check, hold current CPR and First Aid certification, and have an individual NPI number.
- Can a spouse be paid
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No. No. A participant's spouse may not provide participant-directed community support services.
- Can a legal guardian be paid
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No. No. A participant's court-appointed guardian may not provide participant-directed community support services.