Cdass Self-direction Colorado Link

Attendants hired through CDASS report:

Colorado’s CDASS program demonstrates that self-direction of personal care services is not only feasible but desirable for a large segment of the Medicaid LTSS population. By shifting control from agencies to consumers, CDASS enhances autonomy, reduces unmet needs, and does not increase costs. However, the program’s benefits are not automatic. Without adequate support for administrative tasks, robust backup systems, and proactive outreach to people with cognitive disabilities, self-direction can reinforce rather than reduce disparities. As Colorado and other states expand HCBS under the American Rescue Plan Act and the HCBS Access Act proposals, CDASS offers a proven blueprint—but one that requires continuous investment in consumer supports, workforce development, and equitable access. cdass self-direction colorado

CDASS: Empowering Self-Direction in Colorado is a Medicaid delivery option in Colorado that empowers individuals to take full control of their home-based care. Moving away from the traditional agency-managed model, CDASS allows participants—or their designated representatives—to act as the employer, providing them with the flexibility to hire, train, and manage their own care attendants. What is CDASS Self-Direction? Moving away from the traditional agency-managed model, CDASS

| Feature | CDASS (CO) | Cash & Counseling (AR, NJ, FL) | Traditional Agency Care | |--------------------------|--------------------------------|--------------------------------|--------------------------| | Employer of record | Consumer or representative | Consumer | Agency | | Payroll/FMS support | Required, state-contracted | Required | N/A | | Family hiring allowed | Yes (except spouses in some cases) | Yes | Rare | | Budget flexibility | Moderate (service categories) | High (cash equivalent) | None | | Backup plan required | Yes (self-identified) | Voluntary | Agency provides backup | Without adequate support for administrative tasks