Self Direction

Jumbled mix of self-direction related words and concepts

What is Self Direction?

Self Direction is a person-centered process for accessing supports and services in New York State. It is funded by federal and state Medicaid funds, and is overseen by the New York State Office for People with Developmental Disabilities (OPWDD). Self Direction requires:

  • A Care Manager to assist in accessing services 
  • A Broker to help write and manage your Self Direction plan and budget 
  • A Fiscal Intermediary (FI) to process staff applications, submit documentation of services to OPWDD, and handle payroll 
  • A Circle of Support who helps a self directing person to accomplish their goals

What do self-directed services offer people?

Self-directed services offer people with intellectual and/or developmental disabilities (I/DD) budget and employer authority. Budget authority means that you get to use your budget to decide what services will help you reach your goals. During this process, a self directing person will receive assistance from their family, broker, Care Manager, and anyone else they choose. Employer authority means that the person, with assistance, has the power to hire, schedule, train, and fire people who work with them.

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