For all your self-directed care needs

Consumer Direct Care Network (CDCN) is committed to advancing the philosophy and utilization of self-direction. Self-directed services help individuals with disabilities and older adults maintain independence in their homes and empower people to manage services and supports so they have more choice over who provides their caregiving services, and control over what those services entail.

For the past three decades, Consumer Direct Care Network has assisted people who self-direct their in-home personal care. We serve more than 94,000 participants and 112,000 direct care workers through Medicaid programs across the United States.

Tools Built To Meet Your Needs

Large or small, our tools fit your needs

Local Skilled Staff

We believe in serving local communities with local resources

Collaborative Relationships

We work with you to find solutions

Payroll (annually)


Caregiver Shifts (annually)


Exceptional Customer Service

98% of clients are happy with our services

Areas we work

Consumer Direct Care Network provides a broad spectrum of in-home care services across the nation, including Alaska, Arizona, Colorado, Florida, Idaho, Montana, New Mexico, Nevada, South Dakota, Tennessee, Texas, Virginia, Washington, and Wisconsin.

Our community-based offices are staffed with local and caring personnel ready to provide superior customer service to help clients succeed in living the life they choose.

Our Locations >

People are happiest when they have control over their care

Self-direction is at the heart of all the services CDCN provides. 

From all Medicaid model programs to state-specific services, we are a solutions-oriented partner for states and health plans to provide the most efficient, self-directed program options for home and community-based services.

Our 94,000 clients and 112,000 caregivers have taught us that every service and support we offer directly impacts a life.

Our job is to help make a client’s homecare journey easy.

Self-Directed Personal Care Services gives clients more control over their in-home care.

  • Clients, or their Personal Representative (PR), recruit, select, and train their caregivers to provide activities of daily living such as dressing, medication reminders, light housekeeping, and hygiene.
  • CDCN supports client’s choice and independence by managing employment-related paperwork and tasks such as payroll and taxes.

Available in all states CDCN serves.

Agency With Choice is a co-employment option where the client is in control of who provides their care and services.

  • Clients are the Managing Employer, meaning they recruit, hire, train, and schedule their own caregivers.
  • CDCN is the Employer of Record and manages all administrative and payroll-related tasks.

Available in Alaska, Arizona, Montana, Nevada, New Mexico, Washington, and Wisconsin.

Fiscal/Employer Agent (F/EA) provides clients with the most control over their in-home care.

  • The client is both the Managing Employer and the Employer of Record for their caregivers. Meaning they recruit, hire, train, and schedule their own caregivers, in addition to being the Employer of Record.
  • CDCN acts as the Fiscal/Employer Agent and takes care of the payroll and administrative functions for them.

As the Fiscal/Employer Agent, CDCN makes sure workers are paid on time and employment taxes are withheld correctly. Additionally, to fully protect clients from financial risk, a F/EA takes on full liability for each client-employer’s tax responsibilities related to a self-direction program.

Available in Arizona, Colorado, Florida, Idaho, New Mexico, Tennessee, Texas, Virginia, and Wisconsin.


States We Currently Serve


Clients Served*


Years of Experience


Employed Care Workers*

*Numbers reflect a 12-month time period ending April 30, 2024

Care to Learn More About Self Direction?

Contact Us.