Participant-Direction is commonly referred to as “Self-Direction”. The Comprehensive Supports Waiver (COMP) and the New Options Waiver (NOW) Programs promote personal choice and control over the delivery of 18 waiver services by affording opportunities for Participant-Direction to participants who live in their own private residence or the home of a family member.

The Participant (and/or their Representative) chooses to self-direct his/her waiver services. You “take charge” of your waiver services and who delivers these services by deciding who works for you as your employees and what vendors you will use for supplies, goods, and other services.

A few of the key elements to self-direct your waiver services and supports are as follows:

  • you must have a NOW or COMP Waiver;
  • live in your own home or in the home of a family member;
  • choose a Financial Support Services Provider to manage your waiver funds;
  • work with your Support Coordinator to make sure that your choice to self-direct is indicated in your ISP and your budget.

How To Get Started

  1. Review COMP and NOW Waiver Part II.
  2. Contact your Support Coordinator (SC) and let them know that you want to self-direct your waiver services. Your SC and I&E team will evaluate your ability to self-direct services based on eligibility criteria listed in the Manual.
  3. Attend one day of Mandatory Participant Direction Training and sign the Memo of Understanding (MOU).
  4. Choose a Financial Support Services Provider (Fiscal Agent) to manage your waiver funds. Contact the Fiscal Agent of your choice and ask for their enrollment packet. Complete all of the required forms and send them back to the Fiscal Agent for processing.
  5. Have Support Coordinator submit ISP or addendum with self-direction as a selection.

Participant-Direction Brochure


What is Participant-Direction? (Chapter 1200)

Workbook for Self Directing

Glossary of Acronyms (see policy attachment)


Fiscal Agents

Acumen Fiscal Agent

PCG Public Partnership

Continuum Fiscal Services


Support Coordination Agencies

Columbus Community Services

Creative Consulting Services

Georgia Support Services

Professional Case Management (PCSA)

Benchmark Human Services

Contact Your Regional Field Office