Consumer Direction for People with Disabilities in Virginia: Waiver Services and Person Centered Supports


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Using consumer-directed services (CD Services) is one way to help individuals lead more self-directed lives. CD services enable an individual to more closely meet his/her own unique needs. They give an individual more choice about who works for them, what duties a CD employee will perform, and when and where they will use services.

Consumer-directed services (CD services) are services available under four of Virginia's six Medicaid Home and Community Based Services Waivers.

CD services are directed by the individual. He/she is responsible for hiring, training, supervising, and if necessary, firing or letting go of an employee.
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CD services are different from agency-directed services in which the employee is hired by and works for an agency that provides services to individuals. In consumer-directed services, the employee works for the individual or for whoever is the CD employer.
one person talking to another in a wheelchair

one person talking to another in a wheelchair

If an individual needs help managing his or her services, a family member or unpaid caregiver may assist the individual and may actually be the CD employer.