Choosing delivery, providers, payment, or a start
Compare provider-managed and self-directed services
Compare licensed provider services, self-direction, fiscal-intermediary and support-broker roles, staffing responsibility, settings, and verified limits.
Official sources checked 2026-07-29
Start here
Learn about self-directed supportsBefore you start
- Assessed needs, goals, desired control, settings, schedule, provider or worker preferences, employer capacity, payroll and budget support, health and behavior needs, risks, transportation, accessibility, safeguards, and backups.
Who to contact
Start with the BHDDH Eligibility Unit or assigned conflict-free case manager. Use the complete notice for an appeal and the BHDDH Quality Assurance hotline or 911 for the applicable safety route.
Step by step
- Compare who recruits, hires, trains, schedules, supervises, pays, monitors, and supplies backup support.
- For self-direction, confirm the fiscal intermediary, support broker, budget, permissible goods and services, employer duties, and worker requirements.
- Document the choice and every remaining plan, request, authorization, provider or worker, and start step.
Expected next
A documented delivery-model choice, referral, provider intake, fiscal-intermediary or support-broker step, worker action, or written constraint.
Save this proof
Comparison, choice, plan, referrals, direct responses, onboarding, and dates.
If this stalls or the answer is no
Ask the case manager for lawful alternatives tied to the person's current funding and needs and a written explanation of any constraint.
Beyond Childhood planning aid
Compare provider-managed and self-directed services checklist
A Beyond Childhood planning aid derived from the cited official sources.
- Owner and program
- Date started
- Documents supplied
- Written result or confirmation
- Current open dependency
- Next event and date
- Escalation contact
Derived from Review adult DD service options, Learn about self-directed supports
Official resources
Limits
A model choice does not establish funding, authorization, provider acceptance, worker qualification, staffing, payroll readiness, schedule, or start.
Beyond Childhood’s checklists and prompts are planning aids derived from official sources. They are not official forms, legal advice, eligibility decisions, or guarantees of funding, capacity, quality, or service.