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Consumer Directed Option
What Is CDO?
CDO is a new option that is being offered for Kentucky Medicaid Waiver members who are currently receiving or become eligible to receive
Home and Community Based waiver (HCB) services through Kentucky's Medicaid Waiver program. CDO allow waiver members to choose who
provides their non-medical waiver services which allows them 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 and How Can I Enroll in CDO?
CDO is available for members receiving non-medical services through the HCB, Supports for Community Living, Acquired Brain Injury,
and Michelle P Waivers.
If you currently get services through the HCB, SCL, ABI or MP waiver, you can contact your current Medicaid waiver case manager
and let them know you want to enroll in CDO. Your case manager will contact the Support Broker. The Support Broker will contact
you to arrange a time to meet with you. They will help you enroll in CDO.
If you do not currently get waiver services, but think you might qualify, contact Buffalo Trace Area Agency on Aging,
Comprehend Inc. for Michele P or SCL waiver, a Home Health Agency for HCB waiver or an Adult Day Health Center.
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 you with:
Enrolling in CDO
Developing your plan of care and support spending plan
Locating service providers and negotiating rates
Supporting you in hiring, supervising and firing your employees
Coordinating with traditional providers
Transitioning back to traditional services if you choose to disenroll from CDO
Employment / Budget Information
Will I be given a budget?
Yes. You will be given a budget amount based on past service utilization. The budget amount will be determined by 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 my employee?
You can hire some family, friends, neighbors and 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 hiring and training employees.
How will my employees be paid?
The Area Development Districts (ADD's) will be the Financial Management Agency for CDO in Kentucky. The member will keep track of all the services done by their employee(s). A timesheet will be submitted to the Support Broker showing what services were performed. The Financial Management Agency will pay the member's employee(s) for providing these CDO services. The Financial management Agency will make sure all state and federal laws are met such as withholding enough money to pay for taxes and other items.
What training is required?
Members, representatives, and employees must complete training 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 member can also require additional training related to their specific needs.
What Are My Responsibilities if I Choose CDO?
The member has a responsibility to:
Work with the Support Broker to develop of Plan of Care/Support Spending Plan and an emergency back-up plan
Hire, train, schedule and fire staff
Follow the Plan of Care/Support Spending Plan and keep within their budget
Choose a representative if needed or desired
Submit paperwork on time
What if I decide I don't want to be in CDO anymore?
The Support Broker will work with the member to transition back to traditional services.
For additional information in the Buffalo Trace District contact: Cathie Drury, Mandy Mitchell or Caroline Ullery at 606-564-6894
Caroline Ullery
Cathie Drury
Mandy Mitchell
The Buffalo Trace Area Development District provides services on a non-discriminatory basis.
Reasonable accommodations will be made upon request for those with hearing, visual and all other handicaps.
© 2009 BTADD. All Rights Reserved. All Logos and Trademarks are property of their
respective owners.
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