Self Direction

Jumbled mix of self-direction related words and concepts

What is Self Direction?

Self Direction is New York State’s current self-determination program. It is funded by federal and state Medicaid funds, and administered through New York State Office for Persons with Developmental Disabilities (NYS OPWDD). Self Direction requires:

  • A Care Manager to provide oversight and ensure the person’s health and safety
  • A Start-up broker to write and submit the Self Direction plan
  • A Fiscal Intermediary (FI) to process staff applications, submit documentation of services to OPWDD, and handle payroll
  • A planning team who comes together to help a person accomplish their personal 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 available funds are managed purely for the benefit of the person; either by themselves or with the help of 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. You may also hear self-directed services referred to as participant-directed services.

To find out more, you can see our slideshow presentation here. It contains a lot more information about self direction. Also the A Practical Guide to NYS Self Directed Services (pdf) is a very helpful guide for families.