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What is Participant-direction?



There are many names for Participant-direction. You may have heard it called; Participant-direction, consumer-direction, or self-direction, but they all mean the same thing – choice and control over long-term services for aging adults and people with disabilities in their homes.

More than 830,000 People in U.S. are Self-Directing their Services. Here’s Why.

According to recent studies, many aging adults and people with disabilities want to age in their home and community, where they’re comfortable. Self-direction helps give people the ability to do that.


Image of a smiling, Elderly couple holding each other in their living room

With self-direction, aging adults and people with disabilities, also known as Participants, choose which services they want, determine how and by whom they are delivered, and manage the budget to pay for those services.

Participants are able recruit and directly hire whomever they would like to provide them with services, including family members and friends. This means the Participant, who is the employer, can schedule, train, and dismiss their Home Care Workers as necessary.

How are Services Paid For?

Financial Management Service (FMS) Providers are here to support the independent lifestyle that self-direction offers.

At the most basic level, the FMS helps Participants with payroll processing, taxes, budget management, and other fiscal aspects of employing Home Care Workers.

While any FMS Provider can process payroll and taxes, experience matters. For the most experience and community focus for Participant-direction programs, Participants choose PCG Public Partnerships as their FMS provider. To learn more about Public Partnerships’ service, click here.