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Consumer-Directed Services
Individuals who receive services through the Intellectual Disabilities (ID) Medicaid Waiver can select Consumer Directed (CD) Services or agency-directed services, or a combination of the two, when developing plans to help them live successfully in their communities. CD Services allow the individual to be the employer. As the employer, the individual is responsible for hiring, training, supervising, and terminating his or her CD employees. When services are consumer-directed, the individual and sometimes his or her family decide what service is needed, who will provide it, when it will be provided, where it will be provided, and how it will be provided.

The amounts and types of supports and services that individuals receive from caregivers vary greatly from person to person due to individual circumstances and preferences.

Current Consumer-Directed Services
At the moment, three services in the MR Waiver can be consumer-directed:

Personal Assistance Services
CD personal assistance services help individuals with their daily needs, such as dressing, bathing, eating, and assistance with self-administration of medication. CD personal assistance services may also be used to support individuals with their activities of daily living at work and other places in their communities.

Respite Services
CD respite services provide assistance and supports to the unpaid caregiver, for example, family members. The caregiver gets time to do things that they need to do for themselves or for other members of the family. A respite worker assists the individual at home and in the community with things the family / caregiver normally helps with, giving the family / caregiver a break.

Companion Services
CD companion services, which are available only for adults, assist individuals with housekeeping, shopping, and community activities. This support can provide individuals with opportunities to get to know people in their communities and to participate more fully in community activities that interest them. Companion Services is the only CD service that is available to individuals who receive congregate residential services under the MR Waiver.

The program is coordinated through a service facilitator who oversees the contract, develops and monitors individual service plans, supervises caregivers to ensure effective and appropriate delivery of services to the consumers, and responds to parents / families / guardians' needs and concerns.

For more information
To ask a question or request more information, please contact:
The Loudoun County Community Services Board
906 Trailview Blvd.
Leesburg, VA 20175
Ph: 703-777-0377
Fx: 703-771-5367

Loudoun On
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