Consumer Directed Options (CDO) gives Medicaid waiver members more choices in the way some Medicaid services are provided. With CDO an individual can choose who, when, how, and where non-medical services are to be provided. Individuals may hire and supervise qualified family members, friends, relatives, neighbors, agencies or others to provide needed services. If an individual is unable to direct their own services a friend or family member can be appointed as representative to assist.

  • Consumers must complete an assessment with Support Broker to determine if they are functionally eligible for program. The determination of whether the person meets Nursing Facility Level of Care is made by QIO once we submit the assessment.
  • Financial eligibility is determined through the Medicaid office. The person must complete the application for HCB waiver at the office to determine whether they are within the income guidelines for the program.
  • Client must sign Estate Recovery form
  • Consumer must be over the age of 65, blind or declared disabled by Social Security.

CDO Program Income Guidelines to be under Patient Liability

$753 Having Social Security and SSI

$733 having SSI only (both monthly $)

$1967 if client has dependent spouse (minimum)

Any income beyond these amounts may result in a patient liability payment if they choose the CDO Program.*

*The patient liability is determined through Medicaid, not the BRADD/AAAIL, we can only provide them with an estimate of what their patient liability may be.*

Medicaid eligible individuals may enroll in one of the following Medicaid Waiver Programs:

  • Home and Community-Based (HCB) waiver provides respite, personal care, homemaking and attendant care for the elderly and people with disabilities.
  • Supports for Community Living (SCL) waiver provides community living supports, respite, adult day training and supported employment for persons with mental retardation/developmental disabilities.
  • Acquired Brain Injury (ABI) waiver provides companion care, respite and personal care for personas with acquired brain injury.
  • Michelle P. Waiver (MPW) provides community living supports, respite, homemaker service, personal care, and attendant care.


For assistance call the Aging and Disability Resource Center at 270-782-9223 or 1-800-395-7654.