Consumer Directed Care

You’re In Charge

Consumer Directed Care allows consumers, train, schedule, direct and supervise their own workers to assist them with their homemaking tasks and personal care.

Participants in this program may interview applicants of their choosing, hire their partners, friends, neighbors, or a family member to be their caregiver. They may not hire their surrogate, spouse or guardian.

Workers may:

Assist with bathing, dressing, walking, toileting, eating, taking medication or other like tasks.

Assist with meal preparation, light housework, grocery shopping, errands and other like tasks.


Participants must be eligible for State Home Care, (SHC) services.

Participants must be able to manage the program and supervise workers or name someone as their surrogate to manage the program on their behalf.

Eligibility requirements for workers:

Must be legally eligible for employment in Massachusetts.

Must have a CORI (Criminal background check) approved by the consumer.

Must be willing and able to provide the needed assistance.


State funding issues paychecks to workers.

Co-payments for services to the participant are based on income.


Tri-Valley assists the participant or surrogate managing the program with employer paperwork. Tempus Unlimited, Inc, the Fiscal Intermediary manages payroll on the participant’s behalf.

Contracts and Quality Manager:

Tri-Valley’s Contracts and Quality Manager will monitor services that are provided to consumers through on-site audits allows Tri-Valley to ensure standards of quality are met. Tri-Valley works closely with provider agencies to ensure that contract agreements are met, which include a high standard of services as required by the Executive Office of Elder Affairs.

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