The option allows you to choose the caregiver of your choice with Medicaid funds but you would have to pay the difference which would not be a problem. My mother-in-law has been very unhappy with the choices available with the Medicaid agencies. They also seem to have a high turnover rate since everytime she gets someone she likes they are never there for long.
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?