​Participant-Directed Services

Participant direction gives people enrolled in a waiver more control and authority to decide who provides needed services and how those services are provided.


Participant direction is available for homemaker/personal care services, often called HPC. All three of the waivers administered by the department offer HPC services, making the option for participant-directed HPC available in all of DODD’s waivers.


People who choose participant-directed HPC are responsible for

  • hiring employees,
  • deciding how much to pay employees (see this helpful tool),
  • training employees,
  • providing day-to-day supervision of employees,
  • verifying timesheets of employees,
  • and choosing someone to help with these employer functions, if they need help.

Learn more about participant-directed HPC in this presentation from Lori Horvath, deputy director of the department’s Division of Medicaid Development and Administration. Watch Lori Horvath explain participant-directed HPC services here and Brian Harrigan, Medicaid systems consultant, discuss the Medicaid Services System here.