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Self-Directed Home Care Explained

Self-Direction. Participant-Direction. Consumer-Direction.

Regardless of what it is called in your state, these phrases represent a long term-care option for Medicaid eligible individuals and their families that puts them in control. 

If you or a loved one is an individual with disabilities, chronically ill, or simply aging, self-directed home care is your alternative for supporting you in performing everyday activities.  Your alternative to admittance into restrictive long-term institutional care, or to using a home-care staffing agency that offers little to no choice or control over your support workers and services.

Public Partnerships | PPL supports you and your family in that choice to remain in your home and community. As Medicaid law in most states prohibits direct cash payments, our role as a Financial Management Service (FMS) provider, is to help you in your role of the employer of your own support workers.  We assist you in hiring, paying for your choice of support workers and services, all within your state-approved personalized spending budget and local rules. We are the largest with 20 years of experience.


Pin of male participant and son looking and pointing through fence Pin of elderly female participant and care worker showing photo and smiling at camera Pin of female participant using crutches with guidance from therapist Mother and participant daughter walking down path in the fall season Young female participant with her hands above her head Elderly female participant sitting at table and coloring

Self-Directed Home Care for Everyone

To learn how our size and experience can benefit you, select the category you are interested in learning more about

Welcome Acumen FMS Transition Visitors

Are you self-directing your long-term care and impacted by yet another forced FMS transfer? Click here to find out why 80% of Coloradans continue to choose Public Partnerships | PPL.

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Industry News Update

Learn more about the Unpaid Caregiver Dilemma and the National Shift in Long-Term Care Preferences in the latest news articles from industry resources such as Open Minds and the Wall Street Journal

Welcome California DDS SDP Visitors!

Learn about the new PPL California SDP program, the benefits and services PPL provides our members, and how you can join our interest lists today. Click here to start your PPL journey!

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The Safest Home Care Option Right Now

Learn how self-directed home care is the safest long-term health care option available. Read more...

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COVID-19 Information

We are here to help you during the Coronavirus (COVID-19). Read more...

Dark blue icon of hands holding up a persona pin 0 States, Partnering with 21 MCOs
Dark blue icon of hands holding up heart 0 Self-Directed Programs
Dark blue icon of outlines of five people 0 Self-Directing Program Participants
Dark blue icon of the outlines of three people 0 Providers
Dark blue icon of coin going into piggy bank $ 0 M In Goods and Services Funds
Dark blue icon of dollar sign inside circle $ 0 B+ In Payroll Funds


Participating in a self-directed home care program gives you back choice, control and independence. It has the potential to transform lives – yours, your family's and those of your support network.

Public Partnerships | PPL supports program participants in multiple states who want to self-direct their or their loved one’s services and support. See the programs PPL offers today.

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Our Service Shared Through Your Voices

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Hector T Customer Service

"Hector was excellent and took care of all my problems. Thank you very much!"

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Christopher W Customer Service

"Mary G would like to recognize Chris for his attentiveness as well as patience with getting her issue with time entries resolved. She accidentally disconnected before she could use the survey, so she wanted to make sure he was recognized for the excellent service he provided."

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Darnell S Customer Service

"Darnell was extremely helpful. He explained everything and was very accommodating."

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Nahdya A Customer Service

"Margarette of the New Jersey PPP program wanted to let everyone know of the great customer service she received from Nahdya today. She appreciated the fact that Nahdya escalated her call so her issue could be resolved right away. She also appreciated the fact that Nahdya advised the supervisor of the issue during the transfer so the participant would not have to repeat it once again. Nahdya provided the kind of service one should expect."

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Kevin W Customer Service

"Kevin is a top shooter! He helped me with a technical issue and he was a great agent. He was wonderful and should get a raise!"

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Tonia N Customer Service

"Tonia was amazing and truly an asset. I was trying to get the file fixed since March but no resolution and Tonia stayed the course and delivered results. She is an asset to your team and her customer service skills are dynamite. I would like to have a letter added to her personnel file because she is someone I would want to hire myself for my company."

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Kevin L Customer Service

"Kevin is a high-quality agent. He was able to solve my online timesheet issue. He is very nice. You have a great person in your team. He made my day."

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Elizabeth A Customer Service

"Elizabeth did a great job in taking the time in explaining step by step in how to register my transportation in order to get that paid. I appreciate talking with Elizabeth because she has great manners."

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Erika L Customer Service

"I wanted to express the happiness working with Erika who solved my concerns regarding some issues and who is a pleasure. Erika is a joy to work with and was a big help. You have a wonderful agent who made life a bit easier."

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Steve K Customer Service

"Steve provided outstanding customer service to me. Thank you, Steve!"