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Self-Direction Services (SDS)

Contact:  Consumer Care Coordinator
Phone:  585-334-6000 x1394

o   Self-Direction is an option available to individuals enrolled in the HCBS waiver who want the freedom to choose supports and services that are right for them. With the assistance of a Fiscal Intermediary and Support Broker, individuals have the flexibility to manage their budget and have control over their funding. As the OPWDD website states, “Self-Direction gives you the chance to make decisions about supports and services that help you to:

  •   Enjoy meaningful relationships with family and friends,
  •   Experience health and growth,
  •   Live in the home and community you choose, and
  •   Work, volunteer or do activities you enjoy.

Enhancing community integration and social capital is at the core of self-direction.”


Fiscal Intermediaries provide administrative and billing support to self-directed individuals, including but not limited to completing staff background checks, processing staff payments, billing for Medicaid services, and tracking expenditures.


Support Brokers help individuals to exercise their freedom in choosing supports and services. The support broker will request an initial start-up budget, and upon approval, will help to plan and develop a complete Self-Direction budget. They provide ongoing support to individuals by building their Circle of Support team, providing education on services and community resources, training staff, and more.

Adult Services