Consumer Direction

Consumer Direction

Consumer directed services allows the individual or family caregiver to direct and controls whom, how, and when services are provided. PPL is the fiscal agent for all consumer directed services.

Virginia offers consumer-directed services in:

The Elderly or Disabled with Consumer Directed Waiver (EDCD)

  • Personal Care
  • Respite

The Developmental Disabilities Waiver Program: Family & Individual and Community Living Waivers only

  • Personal Care
  • Respite
  • Companion

To have consumer directed services an individual or their family must:

  • Be the employer of record with the IRS
  • Have a Service Facilitator (SF) that writes documentation of need based on information from the individual, monitors the service and provides support as needed to the individual so that the individual can be an employer of their staff.

The Service Facilitator:

  • Provides training on recruiting, interviewing staff, how to handle difficult situations, how to complete employment paperwork, etc.
  • Provides list of people who have said they want to work as consumer-directed staff and shows how to place an advertisement for attendants, companion aides and respite workers (the list and ads do not have to be used.)

The Department of Medical Assistance (DMAS) (using a contractor, PPL) pays the attendants, companion aides and respite workers on behalf of the individual.

Consumer Directed Waiver Services Manual

PPL’s website

Blank timesheet

Consumer Directed Staff Must:

  • Be 18 years old
  • Possess basic math, reading and writing skills
  • Have the required skills to perform job duties
  • Have a valid Social Security number
  • Submit to a criminal history check and CPS for children
  • Willing to attend training requested by the person receiving Waiver services
  • Understand and agree to comply with requirements
  • Annual or routine TB screening

This is a brief overview of a multi-part program.