At Riverwood Center, we believe that self-determination is a vital part of your health and well-being. Our self-determination services are designed to give you greater choice, control, and flexibility in your care. This means you can play an active role in creating your own person-centered plan, selecting the services and supports that best fit your needs and goals. We’re here to empower you to make decisions about your treatment, manage your own services and budget (when eligible), and build the skills and confidence you need to live life on your own terms. With Riverwood Center’s support, self-determination puts you at the center of your care—every step of the way.
Under Self-Determination, you can hire your own workers and manage your services within a set budget.
- You have choice and control over your services.
- Your Case Manager/Supports Coordinator supports you to manage the services you choose.
- You are the employer of record with a Fiscal Intermediary (someone who pays your worker(s) for services).
- You directly hire, fire and supervise your workers.
- You set your workers' schedule.
- You decide what to pay your workers (within Riverwood Center's rate).
How does Self-Determination work?
- You make choices about your goals when creating your Person-Centered Plan.
- You determine who you want to help you reach your goals.
- Your family and friends can help you with decisions to make sure that your health and safety needs are met.
- After you have a plan, we will develop a budget based on those services.
- You manage your individual budget (with help from your Case Manager/Supports Coordinator and Fiscal Intermediary).
How do you begin Self-Determination?
It starts with your Person-Centered Plan. At your next Person-Centered Plan meeting, tell your Riverwood Center Case Manager or Supports Coordinator that you are interested in Self-Determination. You can also contact our Self-Determination Coordinator at 269-934-1655.
Important to know:
Medicaid rules still apply under Self-Determination. That means:
- Services must be medically necessary:
- The kind, amount and length of service must be supported by your condition.
- Your condition would worsen without the services.
- All other natural and community supports must be used before Medicaid will pay for a service.
- Services must be supported by documentation.
- The services provided must match what is in your Person-Centered Plan.
- The staff you choose to hire must meet the minimum Medicaid requirements:
- At least 18 years old
- Able to prevent transmission of any communicable disease from self to others
- Able to communicate clearly with you and Riverwood Center staff
- Able to report on activities performed
- In good standing with the law according to the MDCH/PIHP contract
- Complete required trainings, which may vary based on the type of services being provided