For self-directed services, you choose your own worker. You are the employer for that worker and are responsible for training, monitoring and dismissal of the worker. A financial management service (FMS) provider will assist you with payroll services.

For agency-directed services, the agency will provide you with a choice of workers from their staff for each authorized service. The agency is responsible for all employer duties.

1. If you meet functional eligibility you will be placed on the PD waiting list.
2. Your number on the waiting list does not determine when you will get an offer. Timing for offers are based on when funds are released. KDADS does not know, and will not be able to tell you when funds will be released.
3. You will be notified by mail when a place on the waiver is open for you. It is important to keep your address current because the offer letter will not be forwarded.
4. You will need to mail the completed offer letter back to the Kansas Department for Aging and Disability Services within 15 days.
5. Your information will then go to the Kansas Department of Health and Environment (KDHE) and the KanCare Clearinghouse to confirm your HCBS Medicaid eligibility.
6. After you are approved for HCBS Medicaid, the Clearinghouse will provide your information to the Managed Care Organization of your choice.
7. You will be contacted by your chosen MCO to complete an assessment and begin your authorized services.

The hours of service are based on your needs. Each Person-Centered Service Plan that is developed by the MCO Care Coordinator is individualized to meet your needs.

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.

• For help with authorized services call your MCO Care Coordinator.
• For help with your Medicaid eligibility contact the KanCare Clearinghouse. KDADS does not determine Patient Obligation or Medicaid Spend Down. The KanCare Clearinghouse manages these items.
• For help with your offer letter contact the Program Manager.
• For help with your waiver eligibility contact your local resource center.