• Consumer Directed Options

    Consumer Directed Options (CDO)

    What is CDO?
    CDO is a program offered for Kentucky Medicaid Waiver members who are currently receiving or becoming eligible for the Home and Community Based Waiver (HCB).  CDO allows waiver members to choose who provides their non-medical services which allows the client greater freedom of choice, flexibility, and control over their supports and services.  Members can choose to direct all or some of their non-medical waiver services.

    Who is Eligible for the HCB Waiver Program
    Those who:
    •  Are elderly or disabled
    •  Meet nursing home facility level of care (as defined in 907 KAR 1:022) who, without services would be admitted into a nursing facility.
    • Are financially eligible for Medicaid services (special financial eligibility for Medicaid is applied for this program)

    Who and How can I enroll in the CDO program?

    CDO is available for members receiving non-medical services through the Home and Community Based (HCB), Supports for Community Living (SCL), Acquired Brain Injury (ABI), and Michelle P (MPW) waivers.

    If you currently get services through the HCB, SCL, ABI, or MPW waivers:

    • Contact your current Medicaid waiver case manager and let them know that you are interested in enrolling in the CDO program.  You case manager will contact the appropriate agency to make the referral.  Once the referral is received, a Support Broker will contact you to arrange a time to meet with you.
    If you do not currently receive services through HCB, SCL, ABI, or MPW waivers:
    • Contact KIPDA and complete a CDO intake with any of our intake specialist. 

    At this time KIPDA only provides services through the HCB waiver program.  If you would like to see about CDO services through the SCL, ABI, or MPW waiver programs contact Seven Counties at (502) 589-1100 or (800) 264-8799.

    What is a Support Broker?
    The local Area Agencies on Aging (AAA’s) will act as Support Brokers for the CDO program.  Once you choose CDO, you will no longer have a case manager through the traditional agency.  The Support Broker will act as your case manager.

    The Support Broker will assist with:
    • Enrolling in CDO
    • Developing the clients plan of care and support spending plan
    •  Locating service providers and negotiating rates
    • Supporting the client hiring, supervising, and firing employees
    • Coordinating with traditional providers
    • Transitioning back to traditional services if you choose to no lover receive CDO services.
    Employment/Budget FAQ’s

    Will I be given a budget?
    YES!  The client will be given a budget amount based on past utilization. The budget amount will be determined by The Department for Medicaid Services (DMS).  The budget will be used by the member to negotiate rates with employees and complete the support spending plan.

    Who can I hire as an employee?
    The client can hire family, friends, neighbors, and other provider agencies.  The employee must be at least 18 years old and submit to a criminal background check.  The Support Broker will assist the member with the employee hiring and training process.

     How will my employees be paid?
    The Area Development Districts (ADD’s) will be the Financial Management Agency for CDO in Kentucky.  The client will be responsible for keeping track of all the services completed by their employee(s).  A timesheet will be submitted to the Support Broker showing that the services were performed.  The Financial Management Agency will pay the client’s employee(s) for providing these CDO services established in the Plan of Care.  The Financial Management Agency will make sure all state and federal laws are met such as withholding money to pay for taxes and other items.

    What training is required?
    Clients, representatives, and employees mush complete training lessons on person centered planning and self-determination.  Training will be available on abuse/neglect/exploitation prevention, recognition, and reporting.  Employees must also complete training in First Aid and CPR.  The client can also require additional training related to their specific needs.

    What are the client’s responsibilities if they choose CDO?
    The client has a responsibility to:
    • Work with the Support Broker to develop a Plan of Care/Support Spending Plan and emergency backup plan
    •  Hire, train, schedule and terminate employees
    •  Follow the Plan of Care/Support Spending Plan and keep within their allocated budgets.
    • Choose a representative if needed or desired to act as your voice within the program
    •  Submit paperwork correctly and on time!

    What if I decide I do not want to be a CDO client after receiving services?

    The Support Broker will work with the client to transition them back to traditional Medicaid services.


    Helpful Links and Additional Information:

    What you need to know about CDO!

    CDO Brochure

    Kentucky Cabinet for Health and Family Services CDO

    Home and Community Based Waiver (HCB):


    Supports for Community Living Waiver (SCL):

    SCL Brochure


    Acquired Brain Injury Waiver (ABI):

    ABI Brochure
    ABI Case Management List
    ABI Providers


    Michelle P. Waiver (MPW):

    MPW. Brochure

    Michelle P. Providers

    Michelle P. Assessment Contact List

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    2:00 PM July 27, 2017
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    11520 Commonwealth Dr
    Louisville, Kentucky 40299
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    Page last updated on Wed, 19 Jun 2013 11:59:00 GMT.

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