Participant directed and managed services afford the individual/family greater flexibility and enable the individual/family to:
525 Services are available to any individual who:
There are four basic models of service provision, but when blended together or arranged in combination with one another within the same program design, there can be many different ways to set up this service.
Model #1: Vendor Agency as Service Provider
1. The vendor agency is responsible for employing staff, assuring certification,complying with all regulations, and managing the day-to-day delivery of services.
2. The individual/family determines the specific services and provides oversight, participates in the hiring, training and supervision of staff; and reviews documentation prepared by the vendor agency.
3. Community Crossroads contracts with the individual/family and vendor agency for the agreed upon services.
Model #2: Community Crossroads or Another Agency acts as Fiscal Intermediary
1. Community Crossroads or another agency becomes the employer of record (EOR) for the person(s) providing the actual services and is expected to assure compliance with employment regulations.
2. The individual/family assumes responsibility for assuring the certification of services, compliance with regulations and managing the day-to-day delivery of services.
3. Community Crossroads contracts with the individual/family and involved agency for the agreed upon services.
Model #3: Individual/Family as Employer of the Service Provider.
1. The Individual/family establishes themselves as an employer.
2. The individual/family assures compliance with all state and federal employment regulations as well as compliance with all state standards and area agency expectations related to services and certifications. The individual/family also manages the day-to-day delivery of services.
3. The individual/family recruits, hires, trains, and supervises their own staff.
4. Community Crossroads contracts with the employer as an independent subcontractor for the agreed upon services.
Model #4: Family member as Provider of Direct Services.
1. The family member becomes the provider of direct service either as an employee or independent contractor.
2. As an employee or independent contractor, the family member becomes responsible for compliance with all state laws and regulations as well as area agency expectations related to services and certifications.
View the presentation developed by the NH Quality Council, which offers information and guidance to families and individuals.