I know this is farfetched but I'm wondering if anyone has tried to navigate the PDO option for Medicaid LTC in FL using an outside service?

Thanks Geaton for the explanation.

The Participant Direction Option (PDO) within Medicaid is a service delivery model that empowers recipients of long-term care services to have more control over their care. It allows individuals to choose, hire, train, supervise, and potentially dismiss their direct service workers, offering greater independence and personal choice in managing their healthcare.  Key Features of the PDO Participant Control: Recipients have the autonomy to select who provides their services (like adult companion care, attendant nursing care, homemaker services, or personal care) and how and when those services are provided.  Flexibility and Choice: PDO allows for customized care plans that align with the individual's needs and preferences.  Direct Service Worker Management: Recipients take on the responsibility of hiring, training, and managing their direct service workers.  Focus on Independence: The PDO aims to support individuals in maintaining their independence and living in their own homes or family homes.   Eligibility and Requirements Medicaid Recipient: The individual must be enrolled in a long-term care program within Medicaid. PDO-Eligible Services: The individual's authorized care plan must include at least one service that is eligible for the PDO. Ability to Manage: The individual must be willing and able to actively manage their own healthcare and the responsibilities associated with hiring and supervising direct service workers. Live in their own home or family home: The individual must be living in their own home or a family home to participate in PDO. I've been on this forum daily since 2019 and can't say I've read about this, so maybe it's not offered in every state?

If in LTC, like a NH, no need for a caregiver. This is usually an option for someone who wants to stay in their home. Never heard of needing to pay a difference. If your on Medicaid, you have no money. In my State a caregiver of choice is trained by an agency and hired by them. Then the person needing care signs up with that agency and gets that caregiver. Medicaid pays the agency, the agency pays the caregiver.