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Michigan MI Health Link Self Determination Option
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The Participant Direction Option (PDO) is a model of service delivery that offers more autonomy, choice, control, and responsibility to participants receiving certain long-term care services. The PDO empowers Medicaid recipients by allowing them to hire, train, supervise, and dismiss their direct service workers. The PDO is available to all long-term care enrollees who have any PDO service on their authorized care plan and who live in their own home or family home.

Participants can

  • Manage your monthly authorization using reports provided by Public Partnerships;
  • Select, hire, train, and manage your own attendant care workers;
  • Determine your workers' schedules and tasks so you're choosing how and when services are delivered to you;
  • Establish performance evaluation criteria for each employee;
  • Review and approve employee timesheets; and
  • Be in charge, but also have help and support available when you need it.


Who we serve

  • The elderly
  • Adults with disabilities



  • Payroll - PPL processes payroll for the service workers using funds from the participant's allocated budget
  • Employment tax requirements - PPL handles all employment-related tax requirements for participants
  • Monthly budget management - We support participants in managing their allocated budgets
  • Enrollment support - We help you with participant and worker enrollment
  • Customer service - Our professional Customer Service Representatives are available 6 days a week to assist you
  • Service reports - PPL's services reports give participants an overview of the services they have received