108 E. Main Street
Salisbury, MD 21801
(410) 749-1244

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   Self Directed Services


Who? What? Where? When? How?

Who: Self-direction gives waiver participants and families greater control over the services they receive, how they receive them, and who provides them.  At the same time, people who self-direct must be willing to take on the responsibility of managing their services.

What: A person in Self Directed Services can get a whole array of services, including support services, supported employment and others.

Where: Self Directed Services is for people living in their own homes or with their families. It will be available to people in all parts of the State.

When: Self Directed Services began on July 1, 2005

 How: Everyone in Self Directed Services will have an Individual Budget. With assistance from a Fiscal Management Service (FMS) and a person called a    Support Broker, the individual will manage their budget, hire and supervise their own staff and make decisions about how their services are provided. The FMS will pay bills, take care of tax paperwork, and provide monthly budget statements. The Support Broker will be someone the person trusts to help them navigate the system, help them with staff and act as an advocate.  For services you choose to self-direct, you have additional responsibility including:

  • You will be in control of your budget which is a fixed dollar amount for the purchase of services and support under the waiver.
  • You select and arrange for the services an supports in your individual plan.
  • You are accountable for using your budget to more effectively meet your needs and more efficiently use public dollars.
  • You are the employer of record.
  • You can hire, train, and fire employees.

Contact Denise Sutton at (410)767-5636 for more information.

For forms and information go to: http://www.health.maryland.gov/dda_md/ndforms.htm