Before you start
Self-Direction start-up usually begins once the basics are in place: OPWDD eligibility, Medicaid, HCBS Waiver enrollment, and a Care Manager who has helped you request Self-Direction. If any of those are missing, a broker can help you understand where you are, but those steps come first. See the step-by-step guide.
What start-up usually involves
Getting to know the person
The broker meets the person and family, learns about routines, strengths, interests, and what a good week looks like, and reviews the Life Plan.
Building the Circle of Support
Together you decide who's in the Circle and hold a first meeting. Our post on building a Circle of Support has an agenda.
Choosing a Fiscal Intermediary
You pick an FI and sign its Memorandum of Understanding. See Fiscal Intermediaries.
Designing the budget
Goals become supports, and supports become budget lines within the Personal Resource Account. See the budget and PRA.
Submitting for approval
The broker prepares the budget on OPWDD's template and submits it for review, then follows up on questions.
Hiring staff and starting services
Once approved, you hire staff through the FI and services begin. See hiring your own staff.
How start-up brokerage is paid for
Brokerage during the start-up phase is funded separately, capped, and listed on a start-up budget. It doesn't come out of the person's Personal Resource Account. After start-up, ongoing brokerage becomes a line in the regular budget.
How long it takes
It varies with how quickly the Circle meets, how complex the budget is, and how long reviews and staff clearance take. A good broker gives you an honest estimate and keeps you updated rather than promising a date.
What you can do to keep it moving
- Gather recent evaluations, the Life Plan, and contact details for the Circle early.
- Start thinking about staff now, especially people you already know.
- Answer questions from the broker and FI quickly; delays usually happen in the gaps.
Sources: OPWDD Self-Direction Guidance (March 2022); OPWDD, Self-Direction Support Broker Checklist.