top of page

First in Consumer Directed Services

In-Home Attendant Services has been dedicated to person centered self-direction since 1996. Over the years, the hopes of citizens in need had been fulfilled as Medicaid program participants were finally given the chance to become the employer of their personal care employees. In-Home Attendant Services partnered with advocates, participants, and the state, as they worked through the early pilot program in CMPAS while also helping to develop self direction into the CDS model we use today. This profound history has aided in our organizational culture dedicated to the success of consumer direction. At In-Home, we're on your side and as we work together we can achieve excellence.


Consumer Directed Services is a program that allows you to become the direct employer of your in-home care attendant. With the assistance of your Financial Management Agency, you are responsible for managing your budget, allowing for state and federal taxes, and more. Most importantly you directly supervise the delivery of your in home care services.

What does this mean for you as an employer?

As an employer, you have direct charge over a couple of things that will be pertinent to the success of the relationship between you, your employee and us here at In-Home Attendant Services. You will be overseeing:

  • Interviewing/Hiring/Firing (management with employees)

  • Training and supervising your employees (guided by your employer packet)

  • Setting wages (within state guidelines)

  • Setting your employees' schedule (within authorized weekly hours)

  • Giving benefits in the form of bonuses


Visit our Frequently Asked Questions page for more information.

As an Employer, who can I hire?

Who you can hire revolves around which program you choose to use. Based on the program you will have certain hiring guidelines to follow. We suggest checking first with your Insurance/Medicaid provider to get a better idea of what your options will be.


As your financial management service agency, In-Home Attendant Services offers employer orientation and support. We are responsible for processing payroll and employment taxes for your employee. For a list of programs that we serve in the CDS option please visit our Services page for more information.

ASD Member round.png

Elesha T.


It is nice having the same employer assistant who cares about not only getting the i's dotted and t's crossed but also cares how I am doing and that I am feeling ok. I have been blessed to be able to request that my employer assistant be able to continue to work my case even when the company has resigned work areas.

bottom of page