What is the Self-Direct Option?

The self-direct option allows you or someone you designate to manage your personal care services by:

  • Hiring and managing your own caregiver
  • Setting the wages for your caregiver, following minimum wage laws
  • Choosing a Fiscal Intermediary (FI) to handle payroll, taxes, and workers' compensation insurance for your caregiver 

There are different guidelines and requirements based on the program that you are enrolled in. If you choose to participate in the self-direct option, your EIM Care Coordinator will refer you to a Skills Trainer. The Skills Trainer will provide you with the information, training, and resources that are necessary for successfully managing your services and caregivers.

What are the benefits to choosing the self-direct option over agency staffing?

The self-direct option allows you to have more control over your services and who provides them. In some cases, caregivers may have an opportunity to earn a higher wage through the self-directed option.

What happens if I choose the self-direct option but decide agency staffing would work better for me?

You can return to agency staffing at any time, subject to the availability of staffing. Your EIM Care Coordinator will help you with the transition.

What does the self-direct option require?

There are some responsibilities that go along with participating in the self-direct option:

  • Attending Skills Training
  • Recruiting, interviewing, hiring, and training your caregiver
  • Terminating your caregiver, if necessary
  • Working with your caregiver to complete all required documents
  • Arranging for backup staffing if your caregiver is unable to come to work
  • Keeping track of and approving your caregiver's hours
  • Keeping copies of all required paperwork
  • Managing your caregiver and providing feedback on performance
  • Following the self-directed option guidelines and applicable program rules 
  • Working with the FI on anything related to payroll, taxes, new hires, and workers' compensation

How much work will this require?

Depending on the program you are enrolled in, there can be a lot of paperwork in the beginning. Your Skills Trainer and FI will be available to assist and answer questions for you along the way.  Ongoing, you will be responsible for scheduling your caregiver and completing required paperwork for new caregivers. You will also be responsible for reviewing, approving, and submitting timesheets to your FI twice a month. 

How would my caregivers get paid?

Your FI will process payroll on your behalf. Your caregiver will fill out a timesheet, which you will approve and submit to the FI. The FI will pay your caregiver twice a month according to a payroll schedule that will be provided to you.

What happens if my caregiver is injured on the job?

Workers' compensation insurance for your caregiver is covered by your FI with program funds. If you caregiver is injured while working, you will need to report this to your FI immediately and complete any paperwork that is required.

How long does it take to get started on the self-direct option?

The time frame can vary depending on the date of your training and how soon your required paperwork is completed. Your Care Coordinator will offer to seek agency staffing while you are working on the self-directed option.

Who do I contact for more information?

Current consumers should contact their Care Coordinator. If you are not currently an EIM consumer but would like information, please contact EIM by calling 1-888-234-3920.