Self-Direction is an option that allows you to live in the least restrictive environment and direct your services. These services are determined by the you and your MCO Care Coordinator to be essential to the maintenance of their health and welfare. When you choose to direct your care, you are responsible for multiple tasks such as choosing, training, monitoring and dismissal of the worker. Services that may be self-directed for the PD waiver include PCS, ECS and FMS.