When an East Cleveland SELF Member Wants to Stop Directing

If an existing SELF member wants to stop directing services, bring that choice and current support needs to the assigned Cuyahoga SA and Support Broker, if applicable. Discuss the actual receiving alternatives and a supported transition before relying on changed care.

Plan the transition before ending SELF direction

The rule's IO or Level One opportunity is conditional; other resources or a facility referral may be considered. It does not promise a receiving waiver or home setting. Agency with choice still involves participant direction duties. A relative cannot simply replace the member, sign or stop services without the required designation and safeguards. Confirm the implemented arrangement, not merely the preferred option.

Do not confuse less administration with leaving direction

Agency with choice can reduce some administrative burden while preserving co-employer direction responsibilities. If the member wants to stop directing services altogether, discuss that actual preference rather than presenting agency with choice as an automatic solution. The SELF termination provision calls for a transition plan involving the participant, SSA and Support Broker when applicable. Ask which receiving option is genuinely available and what must happen before it starts. Do not terminate the existing arrangement because a possible alternative was mentioned, or assume every family designee has authority to act for the member.

For ordinary help at home, explore care in East Cleveland and contact the Northeast Ohio team. Describe the tasks the person wants help with and the arrangements already confirmed. Ask about the actual service scope and availability before relying on a care schedule.

Sources and current program information

• Ohio Administrative Code 5123-9-40: SELF waiver
• Ohio Administrative Code 5123-9-32: participant-directed homemaker/personal care
• CMS approved Ohio SELF waiver amendment OH.0877.R03.02
• Cuyahoga DD: Support Administration