Self DirectionWhat is Self-Direction?

Self-Direction is a person-centered process for accessing supports and services in New York State. It is funded by federal and state Medicaid funds, and is overseen by the New York State Office for People with Developmental Disabilities (OPWDD).

Each person is unique. Self-Direction empowers people to design supports based on their unique strengths and needs.

Who is eligible for Self-Directed Services?

Anyone who is eligible for OPWDD services and enrolled in the Home and Community Based Services (HCBS) Waiver can choose to self-direct their services. Self-direction may be right for a person if they can make their own decisions (or have help to) and if they want more flexible supports and services.

In 2015, Citizens was approved to provide Self-Direction Services, including Fiscal Intermediary (FI) and Broker Services.  Self-Direction allows people to develop a self-directed plan which supports choice as to where to live, day activities, friends and relationships, and how to participate in the greater community.  Self-Direction allows people the opportunity to hire their own support staff.  FI and Broker Services are necessary to pursue Self-Direction.