APD > Consumer Directed Care Plus (CDC+)

CDC+ is a long-term care program alternative to the Medicaid Home and Community-Based Services (HCBS) Medicaid Waiver. The program provides the opportunity for individuals to improve the quality of their lives by being empowered to make choices about the supports and services that will meet their long-term care needs and to help them reach their goals.


  • Could your providers be eligible for a Federal Income Tax exemption on wages earned while employed by you in CDC+?

    On January 3, 2014, the IRS issued Notice 2014-7 addressing the income tax treatment of certain payments to an individual care provider under a state Home and Community-Based Services Waiver (Medicaid waiver) program. For more information including Q & A's please go to:

    The CDC+ program cannot determine based upon a single set or even combination of criteria such as service code, relationship to consumer, or live-in status whether or not a provider is eligible for this exemption. CDC+ staff are not tax professionals and do not provide tax guidance to providers about their specific tax filings or exemptions. Providers need to seek the guidance of their tax professional to determine whether or not they are eligible for this exemption.

    As your fiscal agent, CDC+ will continue to produce and distribute the IRS Form W-2 or 1099, and providers can claim the exemption on the 1040 and be refunded by the IRS accordingly.

  • Department of Labor Home Care Rule UPDATE

    On November 21, 2014, we communicated with you about CDC+ program changes due to the Department of Labor’s (DOL) new Home Care rule. The rule regulates directly hired employees (DHE) who provide Companion Services and new minimum wage and overtime requirements. The Home Care rule was to take effect on January 1, 2015, but on January 14, D.C. District Court Judge Richard Leon struck down the Department of Labor's definition of companionship services under the new Home Care rule in Home Care Association of America v. Weil, Civil Action No. 14-967 (D.D.C.). When combined with his December 22 decision invalidating the third party regulation under the rule, the new Home Care rule has been invalidated in its entirety.

    The Department of Labor has filed an appeal to the U.S. Court of Appeals for the District of Columbia Circuit in the lawsuit brought by associations of home care companies challenging the Home Care Final Rule. The Court of Appeals has ordered that the appeal proceed on an expedited schedule, which calls for briefing to be completed by early April.

    CDC+ requested that you send in a January 2015 Purchasing Plan to meet the new minimum wage of $8.05 per hour for all DHE providers for all services. If you submitted a plan increasing the wages for your DHE providers, we have processed those documents. We also worked with your consultants to ensure that we correctly identified all employees that were live-in employees.

    Pending further information on the Home Care rule, your DHE who provide Companion Services will continue to be exempt from both minimum wage and overtime requirements as they were in the past. We will continue to provide updates as more information becomes available. More information is available on the Department of Labor’s website http://www.dol.gov/whd/homecare/.

  • Quality Assurance Reviews: The Delmarva Foundation is contracted by the Agency for Health Care Administration (AHCA) to provide quality assurance for the State's Developmental Disabilities Service system, which includes the Consumer Directed Care Plus program. The review process consists of two major components: Person Centered Reviews (PCR) and Provider Discovery Reviews (PDR). The PCR includes an interview with the CDC+ participant to determine the quality of the participant's service delivery system from the participant's view. The PDR focus is on the consultant and the representative in relation to compliance with standards set forth in the 1915(j) State Plan Amendment. When selected for review, the PCR component is voluntary but the PDR is mandatory. Please refer to the attached two documents for additional important information related to compliance with quality assurance reviews and background screening alerts.

Background Screening Information for CDC+ only

APD has joined a new statewide screening database, "The Clearinghouse." The purpose of the Clearinghouse is to provide a single data source for background screening results for persons screened for employment or licensure that provide services to children, the elderly, and people with disabilities. The Clearinghouse provides numerous benefits to providers, including long-term reduced costs, email notification of disqualifying offense arrests after initial screening, and alerts when provider rescreening is due, and more up-to-date information. The Clearinghouse allows the results of criminal history checks to be shared among specified state agencies, reducing duplicative screenings for individuals requiring screening across multiple state agencies.

Since CDC+ consumers are the employer of record, consumer/representatives will be required to register in the Clearinghouse to initiate a background screening on their prospective providers and/or rescreening for current providers, and obtain the screening results from the online database. Effective May 25, 2015, all consumers hiring new providers will be able to use the Clearinghouse. Your current providers will go through this new process at the time of their 5-year rescreening or if they experience a lapse of employment of over 90 days and are required to be screened.

Soon, you will be receiving a letter from the CDC+ State Office with your specific login information to access the Clearinghouse and links to training videos developed by AHCA and DCF demonstrating how to access and use the Clearinghouse. To access that information immediately or to read frequently asked questions, please go to the DCF website Background Screening Clearinghouse tab at: https://apps.ahca.myflorida.com/SingleSignOnPortal/Login.aspx?ReturnUrl=%2fSingleSignOnPortal .

We will continue to provide additional information as it becomes available. Please check the CDC+ website for the newest updates!

Video Links


Claim Submissions

This is where you are to enter your CDC+ timesheets, invoices, and reimbursement requests

IVR - Interactive Voice Response Phone System


A viewable and downloadable version of the Participant Notebook and Appendix. The Appendix includes all forms that are used by consumers in the CDC+ Program.


All forms required for Waiver Support Coordinators to become enrolled with Medicaid to provide consultant services and to be entered into the CDC+ Consultant Registry, which is required before a CDC+ participant can select a consultant.

Fiscal/Employer Agent Enrollment Forms

These are all the forms required for the consumer (participant) and his or her employees and vendors to become enrolled with the Fiscal/Employer Agent. These documents provide authorization required by the Federal government and the state of Florida to pay your employees and vendors, withhold and pay employer and employee taxes and other required payroll withholdings, and communicate with the IRS and the Florida Department of Revenue on your behalf as it relates to your CDC+ household business.

Household Employer Forms

Forms required by the Federal government to be used by all employers to provide to their employees and/or to have prominently displayed in the workplace.