Consumer Directed Employer

On this page you can find information on the establishment of a Consumer Directed Employer in Washington state.

Starting in 2018, this multi-year process will establish a contract between the Department of Social and Health Services and a private entity to become the Consumer Directed Employer.  This entity will serve as the employer for Individual Providers of in-home personal care and respite in Washington state.  When the Consumer Directed Employer contract goes into effect, the selected entity will handle the credentialing, payroll and other employer responsibilities currently managed by the Aging and Long-Term Support Administration, Developmental Disabilities Administration and the Area Agencies on Aging. Consumers will continue to select, schedule, supervise, and dismiss their Individual Providers.

DSHS has selected Consumer Direct Care Network and Public Partnerships Limited to serve as the Consumer Directed Employers (CDEs) for Washington State. The linked map shows the coverage areas for each CDE.  Public Partnerships Limited (PPL) will serve CDE Area 1, and Consumer Direct Care Network (CDCN) will serve CDE Area 2.

These vendors bring:

  • Clear commitment to consumer direction
  • Demonstrated success in paying more than 170,000 providers across 37 states
  • A proven electronic visit verification (EVV) solution
  • A commitment to IP workforce development and retention
  • A customer service strategy that includes in-person service across the state, as well as by phone

The move to a CDE model will shift the IP employment-related activities to the CDEs and will help DSHS realize the goal of increasing the capacity of DSHS/AAA case management, customer service, and other social services staff to focus on core case management activities.

New federal requirements were enacted in 2016 as part of the “21st Century Cures Act”.  The Act requires states to implement an electronic visit verification (EVV) system for personal care services delivered in the home.  The CDE will implement the EVV system for IPs. Home Care Agencies will implement separate EVV systems for Home Care Agency workers.

The legislation enabling the CDE requires DSHS to begin implementation of the CDE by June 30, 2021.

Please see the Questions and Answers page for additional details and background information.

DSHS received the CMS Informational Bulletin, Additional EVV Guidance dated August 8, 2019 which answers questions regarding the EVV live in provider exemption and clarifies the community Geolocation collection requirement. The CDE team is working with others across DSHS to understand the impacts of the new CMS guidance. We have also reached out to potential vendors for CDE services to see what their current capabilities are, what they may be adding or changing based on the revised guidance, and the cost of these options. DSHS must make sure it can comply with all legal and regulatory requirements before committing to availability of a time entry option in the future with the CDE(s).

Once DSHS has a better understanding of the impacts of these changes, the available options from potential vendors, and costs associated with using these options, DSHS leadership will make a decision on what time entry requirements will be available to in home care providers who live with a client they provide services to, and what location data will be collected. Information on the final decision will be posted here when it is available.  

Engagement Opportunities

Meeting logistics and materials are available on this site. If you would like to receive email updates on the Consumer Directed Employer project please sign up through GovDelivery and select the Consumer Directed Employer box under the News and Resources category. If you are already signed up for GovDelivery emails, you can add Consumer Directed Employer to your subscriber preferences.

CDE Informational Webinars

Over the course of the project, we are hosting webinars to provide on-going updates and information to all interested individuals and organizations. Registration links are listed below and sent through GovDelivery notifications.

To view past webinar materials, see the Materials and Resources section.

Webinar Dates and Times



Link to Register

November 19, 2019

2:30 to 3:30

Register here

December 17, 2019

10:30 to 11:30

Register here

January 21, 2020

10:30 to 11:30

Register here

February 18, 2020

10:30 to 11:30

Register here

March 17, 2020

10:30 to 11:30

Register here

April 21, 2020

10:30 to 11:30

Register here

May 19, 2020

10:30 to 11:30

Register here

June 16, 2020

10:30 to 11:30

Register here

CDE Strategic Development Group Meetings

The members of the Strategic Development Group represent a wide variety of constituents including participants, individual providers, DSHS and Area Agency on Aging staff, unions, and advocacy groups.

The mission of the CDE Strategic Development Group is to:

  1. Serve as an advisory body and sounding board for DSHS administration on CDE planning issues;
  2. Assist DSHS in strengthening communication with constituent groups on CDE issues of concern;
  3. Provide essential and relevant feedback on CDE implementation plans and activities; and
  4. Assist in identifying strategies and actions for addressing constituent concerns.

View the membership roster, full meeting schedule, and meeting materials.