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 for short. All three of the waivers administered by the department offer HPC services, which means that participant-directed HPC is available using any 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.


Capturescreen112313.PNGChoosing Participant-Direction can help you decide if this service is a good fit for you. 

Learn more about participant-directed HPC in this presentation from Lori Horvath, deputy director of the department’s Division of Medicaid Development and Administration.  (Full Screen)