LEARN MORE ABOUT CONSUMER-DIRECTION

LEARN MORE ABOUT CONSUMER-DIRECTION

Consumer-Direction: Take Control of Your Support at Home

Consumer-direction helps people with disabilities or other long-term care needs stay independent and safe in their homes and communities.

Why Choose Consumer-Direction?

Consumer-direction is a flexible, cost-saving alternative to nursing homes or other traditional care. It helps you stay in your home and your community, where you’re most comfortable.

You are in charge. You choose someone you trust to help—like a family member, friend, or someone in your community.

This is different from traditional care, where an agency assigns your caregiver. With Consumer-direction, you make the decisions.

Freedom to Choose


Pick the caregiver who best meets your needs.


Care at Home

Get support right where you live.

Personalized Help

Set your schedule and choose the tasks you need help with.

Trusted Support

Hire someone you know, like a friend or family member.

How Does It Work?

With consumer-direction, you or someone you trust can decide:

  • Who helps you
  • When they help
  • What kind of help you need

You may also help decide how your Medicaid funds are used, giving you more control and flexibility.

What Is a Financial Management Services (FMS) Provider?

Consumer Direct, a Financial Management Services (FMS) provider, helps with:

  • Paying your caregivers and handling taxes
  • Training support to meet Medicaid requirements
  • Tracking your spending to stay within your budget
  • Helping with paperwork and questions


Think of your FMS provider as a partner behind the scenes, so you can focus on living your life.

Can I Use Consumer-Directed Care?

You may qualify if:

  • You are on Medicaid
  • You have a disability or long-term health condition
  • You’re paying privately for care


Contact us to find out how to get started with consumer-direction.

I want to enroll or help my Consumer enroll in services.

I want to approve time submitted by my Attendant(s).

I am a new Employer of Record and want to enroll myself or my Consumer in services.

I want to enroll as an Attendant to provide care for a Consumer that I worked with at another F/EA.
I do not live with my consumer and I want to submit time.
I live with my Consumer and want to learn how to submit time using the DirectMyCare portal.

I want to understand my pay.

I want to help my Consumers enroll in services.

My Consumer has changed their employer.

I'm a new Service Facilitator and want to learn more.

My Consumer is new to Consumer-Directed services.

My Consumer is transitioning from another F/EA.

The final payday in 2025 for CDVA will be on December 19, 2025.

I want to manage my agency information in CDVA’s system.

Service Facilitators have the ability to view their case loads in the DirectMyCare portal.
MCO DirectMyCare Portal
Administrative Guide
DirectMyCare Portal User Guide

I want to see the status of my Consumers’ paperwork.

MCOs can view status in the "Packet Status" section of the portal.

I'm an Employer of Record/Personal Representative.

I'm an Attendant.

I'm a Service Facilitator.