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.

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.

These changes are expected to take place no earlier than July 1, 2020.

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

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 for notifications through GovDelivery and select the Consumer Directed Employer box under the ALTSA News and Resources category. If you are already signed up for ALTSA’s 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. We will post the sign up information for the webinars several days prior to the event and send out notification through GovDelivery.

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

Webinar Dates and Times

Date Time
July 19 2pm - 3pm
August 16 2pm - 3pm
September 20 2pm - 3pm
October 18 2pm - 3pm
November 15 2pm - 3pm
December 20 2pm - 3pm

In-Person Stakeholder Meetings

You are invited to participate in a listening session to learn about the Consumer Directed Employer and to share your input about the project. This is an opportunity to talk to project staff to make sure your voice is heard. The sessions are intended for Individual Providers of personal care, consumers who receive personal care from an Individual Provider, and their families. 

Listening Session Dates, Times and Cities

Date Time Location
June 15, 2018 9:30 a.m. - 12:30 p.m. Vancouver
June 20, 2018 9:30 a.m. - 12:30 p.m. Lynnwood
June 21, 2018 1:00 p.m. - 4:00 p.m. Renton
July 25, 2018 9:00 a.m. - 12:00 p.m. Spokane
July 26, 2018 9:00 a.m. - 12:00 p.m. Kennewick
July 30, 2018 9:00 a.m. - 12:00 p.m. Lacey

We are requesting all attendees register in advance. Please email the following information to


  • Your name
  • Your email address
  • Your role (IP, consumer, or family member)
  • The session you would like to attend
  • Please let us know if you need auxiliary aids and services for effective communication (such as a sign language interpreter, an assistive listening device or print material in digital format) at least 14 days in advance of your selected meeting.

Space is limited. We will accept registrations until the space is full. Finalized meeting logistics will be emailed to you at least one week before your requested session. 

Read the Listening Session Announcement

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.

Government to Government consultation with Washington’s Tribes

Roundtable discussions and formal consultation with Washington Tribes will occur. Dates for these events will be posted here when available.

Materials and Resources

Consumer Directed Employer Materials:

Electronic Visit Verification: 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.  Washington will delay the implementation of the EVV system so that it can be implemented at the same time as the CDE. 

More Information