Self-determination
Self-direction of services
People eligible for covered mental health services in Kent County have a choice. They can receive those services in the traditional manner or they can choose to self-direct them. People wanting to live a self-determined life may choose to self-direct mental health services as one way to take more control over and have more responsibility for that part of their lives.
The basic tools for self-direction of covered mental health services are the following:
- A plan of service identifying clinically/medically necessary mental health services and other supports
- A Self-Direction Agreement
- An individual budget that outlines the funds allocated for covered mental health services
Individuals can choose one of three ways to implement self-direction of mental health services:
- A provider with choice arrangement using staff from an agency on the network180 provider panel
- A purchase of service agreement with a provider not on the network180 provider panel using a fiscal intermediary
- Acting as employer of record (hiring and managing own staff) using a fiscal intermediary