APD · iBudget self-direction
Consumer Directed Care Plus (CDC+)
Facts last reviewed 2026-07-30 from public APD materials. Verify with your consultant.
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Self-directed option within the iBudget Florida HCBS waiver. The consumer (or representative) is the employer of record; a Fiscal/Employer Agent holds funds and pays workers at the consumer’s direction.
Eligibility (program)
- Enrolled in the iBudget Florida waiver
- Live in own home or a family home (not provider-owned/operated housing for self-directed personal assistance)
- Not previously disenrolled from CDC+ for mismanagement of Medicaid funds
Supports
- CDC+ consultant (Waiver Support Coordinator with CDC+ training)
- Optional representative (cannot also be a paid provider for the same consumer)
- Fiscal/Employer Agent processes payroll for directly hired employees and contractors
Budget notes
- Monthly budget is derived from the approved cost plan (commonly after an ~8% program discount and an administrative fee — confirm current amounts with your consultant)
- Spending is directed via an approved Purchasing Plan
- Funds do not go to the family as unrestricted cash
Hiring notes
- Friends and family may be hired when program rules allow
- Workers need not be Medicaid-enrolled providers
- Level 2 background screening is required before work begins
- Screening cost is the provider’s responsibility; CDC+ funds cannot pay for screening
- Typical hiring packet: employee info, W-4, I-9, good moral character certificate, clearance letter, direct deposit
Official helpline: 1-866-761-7043