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Consumer Directed Option

The Consumer Directed Option (CDO) allows people eligible for Medicaid waiver services to choose their own providers for nonmedical waiver services. Provider choice gives members greater flexibility in the delivery of services received.

Kentucky Medicaid members may participate in CDO if they currently receive or are eligible for services through the Home and Community Based Waiver (HCB), Supports for Community Living Waiver (SCL), the Acquired Brain Injury Waiver (ABI), the Long-Term Care Brain Injury Waiver (ABI LTC) or the Michelle P Waiver (MP).


How to Enroll

Case managers can help eligible current recipients of HCB, SCL, ABI or MP waiver services enroll in CDO.

Those not currently served under an eligible waiver, but who may qualify, can get help from home health agencies, adult day health centers, supports for community living providers or acquired brain injury providers. Regional Area Agencies on Aging and Independent Living and Regional Community Mental Health Centers can provide help to eligible recipients interested in enrolling with CDO. Support brokers are available 24 hours per day, seven days per week.

Once enrolled in the CDO program, participants’ case managers are replaced by support brokers who help arrange for needed services. Support brokers also help develop plans of care and budgets, direct participants to training and help with hiring service providers.


CDO Participant Responsibilities
  • Work with assigned support brokers to develop individual plans of care that include support spending and emergency backup plans.
  • Hire, train, schedule and fire staff.
  • Follow the plan of care and support spending plan and stay within budget limits.
  • Choose a representative, if needed or desired.
  • Submit paperwork correctly and on time.
  • Follow CDO rules and guidelines.

Returning to Traditional Services

If a CDO participant discovers this option does not meet expectations and personal preferences in care and service delivery, he or she may return to former traditional services without loss of eligibility. The department for Medicaid Service may also terminate a CDO participant should the member not continue to meet regulatory criteria. The support broker will help you regain your former services.



Contact Information

Department for Aging and Independent Living Contact for CDO

(502) 564-6930

Ask us a CDO Question



Last Updated 2/14/2017