Participant direction definition

Participant direction means an individual has authority to make decisions about the individual's waiver services and accepts responsibility for taking a direct role in managing the services. Participant direction includes the exercise of budget authority and/or employer authority as set forth in paragraph (G) of this rule.
Participant direction means the opportunity for a MyCare Ohio waiver member to exercise choice and control in identifying, accessing, and managing waiver services and other supports in accordance with their needs and personal preferences.
Participant direction means the opportunity for a youth enrolled in OhioRISE to exercise choice and control in managing a budget for the applicable service in accordance with their needs.

Examples of Participant direction in a sentence

  • An amount of waiver funds that is under the control and direction of the Participant who has chosen the Budget Authority Participant Direction option.

  • Support activities must include, but is not limited to Support for Participant Direction service which includes two components: Financial Management Services and Support Brokerage.

  • The Support for Participant Direction service provides assistance to participants who elect to self-direct their personal care services.

  • Providers of Support for Participant Direction must carry out activities associated with both components.

  • Participants may direct the Insurer (or Trustee, if applicable) in writing to invest their account in specific assets, specific funds or other investments permitted under the Plan and the Participant Direction Procedures.


More Definitions of Participant direction

Participant direction means direction provided by a Participant (or Beneficiary or alternate payee under a qualified domestic relations order, as applicable), and delivered to the Administrator either on appropriate forms supplied by the Administrator, by a telephonic voice response system maintained by the Administrator for such purpose, or in such other form or manner as may be required by the Administrator from time to time; and such direction shall be effective on the Business Day of receipt or the following Business Day as determined by the Administrator, or as soon thereafter as administratively feasible.
Participant direction means an individual has authority to make decisions about the individual's waiver services and accepts responsibility for taking a direct role in managing the services. Participant direction includes the exercise of budget authority and employer authority.
Participant direction means that the individual or his or her surrogate has the ability to exercise decision-making authority over some or all of the individual’s supports and services authorized in the Individual Support Plan (ISP). The individual or surrogate elects and accepts the responsibility for self-directing or managing the supports and services authorized in the ISP and is, therefore, recognized as the “Managing Employer.” INDIVIDUAL INFORMATION First Name Middle Name Last Name Social Security Number Email Date of Birth (mm/dd/yyyy) Physical Address (Street Address, Including Apt. #) County City State Zip Code Phone 1 Phone 2 Email Address: MANAGING EMPLOYER INFORMATION (Only complete if the Individual is choosing a surrogate and is not acting as the Managing Employer) First Name Middle Name Last Name Relationship to Individual ☐ Parent ☐ Spouse ☐ Child ☐ Legal GuardianPower of Attorney ☐ Other: Gender ☐ Male ☐ Female ☐ Other Physical Address (Street Address, Including Apt. #) City State Zip Code County Mailing Address (Street Address, Including Apt. #) – if different than the physical address City State Zip Code County Phone Phone2 Preferred Method of Communication ☐ Email ☐ Mail ☐ Phone / Voicemail Requirements: In the agency with choice model, choice and control over services received allows the Managing Employer to perform activities that include, but are not limited to: • Recruiting and referring Support Service Professionals (SSPs) to the agency with choice financial management services organization (AWC) for hire; • Training SSPs to meet the individual’s needs as specified in the ISP; • Determining SSPs’ hours of work, schedules, and responsibilities in accordance with ODP requirements and the ISP; • Managing the services provided by SSPs in a supervisory capacity; and • Informing the AWC of the desire to discontinue the provision of service to the individual by an SSP with or without cause. In addition to fulfilling the responsibilities of a Managing Employer as set forth in the Participant- Directed Services: Agency With Choice Financial Management Services Model Bulletin 00-20-04, a Managing Employer who is a surrogate must: • Be at least 18 years of age or older; • Carry out the decision the individual would make for himself/herself, even if the decision differs from that which the Managing Employer would make; • Accommodate the individual so that the individual can participate as fully as possible in all decisions that affect the individual; • Support t...
Participant direction means that the individual or their surrogate has the ability to exercise decision-making authority over some or all of the individual’s supports and services authorized in the Person-Centered Individual Support Plan (ISP). The individual participant or surrogate elects and accepts the responsibility for self-directing or managing those supports and services and is, therefore, recognized as the “Managing Employer.” Name of Participant (please print) (Participant Name) Address: (Number) (Street) (Unit/Apt) (City) (State) (Zip Code) Cell phone: ( ) Home phone: ( ) Email: Will the participant have a surrogate acting as the Managing Employer? Yes No (circle one) If yes: Managing Employer/Surrogate name (Managing Employer/Surrogate Name) Address: (Number) (Street) (Unit/Apt) (City) (State) (Zip Code) Cell phone: ( ) Home phone: ( ) Email: PA Office of Developmental Programs Requirements: Managing Employers and surrogates are responsible for working collaboratively to ensure: • Individuals receive high quality services. • Individuals receive needed support services from qualified workers. • Services are provided in accordance with the guiding principles of self-determination, state and federally funded program requirements and in accordance with the approved and authorized ISP. I recognize that my involvement in this program as a Managing Employer/Surrogate is contingent upon the participant’s enrollment in the Participant Direction Services Program (PDS). If the participant is no longer in the Waiver or the PDS Program, my involvement under this agreement will end. I further acknowledge I have received and understand the orientation, training, and written information provided to me regarding the use of self-directed support services under the Medicaid Waiver. I understand my role as a “Managing Employer” of qualified Support Service Workers (SSWs) and how to work with the identified Agency With Choice Financial Management Service (AWC FMS) provider. I understand that the AWC FMS will make payments for the services that are rendered in accordance with the approved and authorized ISP. You must meet the following requirements to become a Managing Employer: • Be at least 18 years of age or older. • Must not have been convicted of a felony or a crime that would disqualify you from becoming the Managing Employer. A list of the disqualifying crimes can be requested by contacting the Agency With Choice Financial Management Service organization. • Participate in all requ...
Participant direction means an option available to individuals who elect to direct their own care and that participants, or their representatives, have decision- making authority over certain services and take direct responsibility to manage their services with the assistance of a system of available support.
Participant direction means direction provided by a Participant (or Beneficiary or alternate payee under a qualified domestic relations order, as applicable), and delivered to the Administrator either on appropriate forms supplied by the Administrator, by a telephonic voice response system (such as to the Spectrum Service Center) maintained by the Administrator for such purpose, or in such other form or manner as may be required by the Administrator from time to time;
Participant direction means direction provided by a Participant (or Beneficiary or alternate payee under a qualified domestic relations order, as applicable), and delivered to the Administrator either on appropriate forms supplied by the