Participant Directed and Managed Services

Participant directed and managed services afford the individual/family greater flexibility and enable the individual/family to:

  • Determine the specific services to be provided;
  • Decide how the available funding will be spent;
  • Make decisions concerning who will provide the services as well as when, where and how the services will be provided; and
  • Provide overall direction, guidance and supervision of the services.

Who is eligible for 525 Services?

 

525 Services are available to any individual who:

  • Is eligible and has funding for services pursuant to He-M 503 (Developmental Disabilities) or He-M 522 (Acquired Brain Disorders);
  • Wishes to direct his or her services;
  • Wishes to design the services;
  • Wishes to select the service providers; and
  • Wishes to decide how the authorized funding is to be spent.
  • And does not receive services under He-M 524.

What sort of provider options are available under 525 Services?

 

There are four basic models of service provision, but when blended together or arranged in combination with one another within the same program design, there can be many different ways to set up this service.

 

Model #1:  Vendor Agency as Service Provider

1. The vendor agency is responsible for employing staff, assuring certification,complying with all regulations, and managing the day-to-day delivery of services.

2. The individual/family determines the specific services and provides oversight, participates in the hiring, training and supervision of staff; and reviews documentation prepared by the vendor agency.

3.  Community Crossroads contracts with the individual/family and vendor agency for the agreed upon services.

Model #2:  Community Crossroads or Another Agency acts as Fiscal Intermediary

1. Community Crossroads or another agency becomes the employer of record (EOR) for the person(s) providing the actual services and is expected to assure compliance with employment regulations.

2. The individual/family assumes responsibility for assuring the certification of services, compliance with regulations and managing the day-to-day delivery of services.

3. Community Crossroads contracts with the individual/family and involved agency for the agreed upon services.

Model #3:  Individual/Family as Employer of the Service Provider.

1. The Individual/family establishes themselves as an employer.

2. The individual/family assures compliance with all state and federal employment regulations as well as compliance with all state standards and area agency expectations related to services and certifications. The individual/family also manages the day-to-day delivery of services.

3. The individual/family recruits, hires, trains, and supervises their own staff.

4. Community Crossroads contracts with the employer as an independent subcontractor for the agreed upon services.

Model #4:  Family member as Provider of Direct Services.

1. The family member becomes the provider of direct service either as an employee or independent contractor.

2. As an employee or independent contractor, the family member becomes responsible for compliance with all state laws and regulations as well as area agency expectations related to services and certifications.

 

View the presentation developed by the NH Quality Council, which offers information and guidance to families and individuals.

 

Director of Community Services

Kelly Judson

603-893-1299 ext. 331

kjudson@communitycrossroadsnh.org

 

Consumer Directed Services Coordinator

Tom Call

603-893-1299 ext. 316

tcall@communitycrossroadsnh.org