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 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. 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



Link to Register

February 19, 2019

2:30 to 3:30

Register here

March 19, 2019

10:00 to 11:00

Register here

April 23, 2019

10:00 to 11:00

Register here

May 21, 2019

10:00 to 11:00

Register here

June 18, 2019

10:00 to 11:00

Register here

July 23, 2019

10:00 to 11:00

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.