If you choose self-direction:
• You select and hire your caregiver
• You determine the caregiver’s hourly pay (within Medicaid limits)
• You approve time worked
• You manage scheduling and backup coverage
• You handle performance concerns
• You act as the employer
A fiscal intermediary processes payroll, but the family or authorized representative remains responsible for oversight and day-to-day management.
Self-direction works well for families who:
• Have a reliable caregiver already identified
• Feel comfortable managing scheduling
• Are prepared to handle employment responsibilities
• Have a stable, low-complexity care situation
Some families appreciate this flexibility.
Others prefer professional management and oversight.
How Anchor Home Health Services Is Different
At Anchor, we provide a fully managed care model.
Families who choose agency services receive:
• Professional supervision
• Care plan oversight
• Backup staffing if a caregiver calls off
• 24/7 on-call support
• Documentation compliance monitoring
• Structured scheduling
• Liability protection
We manage the care — so families can focus on being family.