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 program and functional eligibility you will be placed on the I/DD waiting list.
2. You will be notified by mail when a place on the waiver is open for you. It is important to keep your address current with your local CDDO.
3. You will need to mail the completed offer letter back to the Kansas Department for Aging and Disability Services within 15 days.
4. If you do not already have Medicaid coverage, you will apply for HCBS Medicaid eligibility.
5. After you are approved for HCBS Medicaid, the Clearinghouse will provide your information to the Managed Care Organization of your choice.
6. Your local CDDO will update your functional assessment if you do not have a current functional assessment on file.
7. You will be contacted by your chosen MCO to complete an assessment and begin your authorized services.
8. Your local CDDO will contact you to offer you a choice of HCBS providers.

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 I/DD waiver include ECS, PCS, and Overnight Respite.

• 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 Community Developmental Disability Organization (CDDO).