Consumer Directed Options (CDO) in Kentucky 


1.Program Definition and Services 

Consumer Directed Options (CDO), now known as Participant Directed Services (PDS), is a program that allows individuals receiving 1915(c) Medicaid waiver services to hire their own providers for non-medical, non-residential waiver services. Services include: 

  • Personal care 
  • Homemaking 
  • Transportation 
  • Respite care 
  • Community access

 

2. Regulations 

The program is governed by Kentucky Revised Statutes, specifically KRS 205.5605, 205.5606, and 205.5607. 

 

3. Licensing or Certification 

No specific license or certification is required for individual providers under CDO/PDS. However, providers must meet certain requirements and background checks. 

 

4. Responsible State Agency 

The Kentucky Department for Aging and Independent Living (DAIL) administers the CDO/PDS program. 

 

5. Application Process 

Individuals interested in CDO/PDS should discuss this option with their case manager. The application process is integrated with the specific Medicaid waiver program the individual is enrolled in. 

 

6. Required Documentation 

Providers under CDO/PDS must submit: 

  • Kentucky Participant Directed Services Employee/Provider Contract 
  • Employment Eligibility Verification (Form I-9) 
  • Copy of Valid Driver's License 
  • Copy of Social Security Card 
  • Criminal background check results 
  • Checks from various abuse and misconduct registries. 

 

7. Timeline for Approval 

The exact timeline for approval is not specified in the available results. 

 

8. Pre-Application Process 

There is no specific pre-application process mentioned, but individuals must be eligible for and enrolled in a qualifying Medicaid waiver program. 

 

9. Pre-Application Training 

While not explicitly stated as pre-application, providers must obtain required background checks and complete necessary training. 

 

10. Additional Notes 

  • CDO/PDS is available for individuals receiving services through the Acquired Brain Injury, Acquired Brain Injury Long-Term Care, Home and Community Based, Michelle P., or Supports for Community Living waivers. 
  • The program allows participants to hire friends, neighbors, or certain family members as providers. 
  • A support broker assists consumers with aspects of CDO, including training and technical assistance 
  • Participants must develop a support spending plan that outlines services, providers, wages, and budget allowance 
  • As of March 2025, the program continues to offer increased flexibility and control for waiver participants in managing their care. 

 

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