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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.


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

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
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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

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American Rescue Plan: FMAP Increase Webinar

Did you miss the free webinar about the American Rescue Plan and a provision to increase FMAP for HCBS starting on April 1, 2021?  No problem! It is available for download now, so you can watch on-demand!

Download the webinar

Are you a Self-Determining Californian?

If you are looking for Independent Facilitators or other Service Providers, the California Self-Determination Network can help. Read more!

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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...

National Family Caregivers Month

In November we honor and celebrate caregivers whose boundless compassion inspires and makes a profound difference in the lives of so many. #CaregivingAroundTheClock

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

"Paula was amazing. Paula should be an example for other employees."

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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." 

Yahayra M Customer Service

"Provider wanted to let us know that Yahayra needs to be recognized. She walked her through the process and was very patient with her and she wanted to make sure Yahayra knew she was grateful to have worked with her today!"

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Svetlana P Customer Service

"I want to acknowledge Svetlana for her wonderful customer service. She was very patient and was able to assist me with my EVV dilemma. I was having trouble clocking in and out within the EVV app and I suppose I was pressing the wrong buttons. However, Svetlana walked me through the process step by step and now I was able to clock in. I appreciate her so much for her help."

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Darnell S Customer Service

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

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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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Olga L Customer Service

"Olga is the most courteous Customer Service Representative I had the chance to speak with and is very knowledgeable, patient, and dedicated. So, I wanted to share her outstanding service."

Alan A Customer Service

"I used to work with Alan all the time. He is fabulous. He resolved my payroll issue for me. He called me weekly to check in and follow up on the case. I almost felt like he was part of my family by the end."

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Elizabeth A Customer Service

"Elizabeth was wonderful, absolutely marvelous! Elizabeth was professional and very knowledgeable. She was a pleasure to work with."

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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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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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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." 

Ticausaclia A

"She was so happy to have reached Angel Anderson when she called. She says Angel was heaven sent! Angel took the time to help her, looking up the issues that have been ongoing, found the problem and corrected all of them. She says Angel took extra time to explain what caused the issue, to ensure it wouldn't happen again in the future. She says people like Angel are hard to come by and we are lucky to have her. Good job Angel!!"

Francisca M

"Francisca is so details, she breaks down everything so perfectly and easy to understand. I can't be more happy and appreciative to have her. When the call was disconnected, I was so sad to think that I couldn't reach her out again. This young lady called her right back, apologized and continue to assist me. This is the best service ever!"

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Darnell S Customer Service

"Darnell is very patient, helpful, knowledgeable, and answered all my questions. This is all new to me and I felt lost, however, Darnell instructed me where I needed to go and now I have access to the portal. I feel very appreciative of the wonderful customer service I received today and hope to speak with the same agent again."

Khristie S Customer Service

"I want to give Kristie props for getting to the root of this issue after many phone calls and discussions with PPL over the past 2 weeks. You have a very valuable employee in Kristie and I hope she gets recognized for that."

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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." 

Christina J Customer Service

"Christina was very calm and helpful. She knew what she was doing and was very proficient . She cared about my issues and took care of me and did not keep me on the phone forever."

Maritza S Customer Service

"Maritza was so kind, so sweet, very polite and she is fabulous. Maritza is also on top of everything."

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Hector T Customer Service

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

Customer Service Compliment Photo Erika L
Erika L Customer Service

"I wanted to express the joint happiness working with Erika who solved my concerns regarding some issues and 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!"