WHAT IS
SELF DIRECTED ATTENDANT CARE?

Self Directed Attendant Care (SDAC) is a different service delivery model for atten- dant care.  SDAC offers:

•	More  options  in  deciding  who  your attendant care workers are

•	The	ability	to	choose	how/when services are delivered

•	The ability for attendants to do certain skilled care tasks

•	Greater	responsibility	in	managing personal health.

SDAC allows you to make decisions about the  attendant care services you want and how to receive them.  Training, technical assistance, and support are available for you.  A Fiscal Employer Agent takes care of all taxes, payroll withholding, and paychecks for you.

You can hire the attendant you choose including family members, friends, and neighbors, with a few exceptions:
•    Your spouse
•    Your parents if you are under 18
•    Your legal guardians, in most cases

If you would like your spouse to be your paid caregiver, your spouse must be hired through an agency in order to receive compensation.

MEMBER ROLE

MEMBER ROLE

•	Direct   the   care   received   from   the attendant care worker(s)
•	Participate in the development of the service plan
•	Select attendant care worker(s)
•	Prepare   an   outline   of   duties   for attendant care worker(s)

•	Talk to your Case Manager about skilled care you need from your attendant
•	Schedule the attendant care worker(s)
•	Develop an emergency back-up plan

•	Train your attendant care worker(s) in the way the duties should be performed
•	Work with the Fiscal Employer Agent to have all your paperwork signed
•	Complete and sign timesheets and send to	the   Fiscal   Employer   Agent,   as arranged

•	Supervise   attendant   care   worker(s), including letting them go if necessary

MEMBER RESPONSIBILITIES

MEMBER RESPONSIBILITIES

•	Notify    your    Case    Manager    of admission to the hospital
•	Recruit, hire, train and supervise your
Attendant Care Workers
•	Make  sure  that  all  required  paper- work is sent to the Fiscal Employer Agent, in a timely manner

•	Review your attendant care worker’s timesheet to make sure it is accurate
•	Report any gaps in services to your
Case Manager
•	Fire  an  attendant  care  worker  by Federal	and   State   laws,   if   the attendant is not doing a good job
•	Notify  your  case  manager  of  any change in your health or situation (hospitalization, etc.)
•	Manage your own health
•	Make  sure  that  you  are  receiving quality service and report any problems or concerns to your Case Manager

•	Communicate clearly and openly with your attendant care worker(s) and your Case Manager

•	Be considerate and respect the limits of others

Is It Right for You?

You are in Charge:   You decide what attendant care services will best meet your needs.

•	Do you know what service you want and need?
•	Do you want more control over your services?

You Select:  You select the workers you want to provide your attendant care services.

•	Do you want to find and select workers to provide your services?
•   Do you want to train and supervise your
workers?

You Decide:  You decide if you are happy with your attendant care services.  If you are not happy, you may change the service or the person providing the service.

•	Will you tell your workers what you like and don’t like about the duties they perform?
•	Will you change workers if you are not happy with the quality of the services they provide?
•    Will you exercise your rights as a member?

You  Ask:   You ask for help when you want help.    If you need additional help with things like how to find/train your workers, how to fire your worker or you want additional training for your worker, your Case Manager can help you get the training needed.

•    Will you ask for help if you need it?

You have support:    You track the time and set the schedule, but you  don’t do the payroll paperwork.

Self Directed
Attendant Care

Is It Right for You?

An ALTCS Service Option
Arizona Health Care Cost Containment System