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.

  • DOL Home Care Rule Effective November 2015

    Currently in the CDC+ Program, directly hired employees (DHE) who provide Companion Services are exempt from both minimum wage and overtime requirements. The US Department of Labor (DOL) Home Care Final Rule was upheld on August 21, 2015, by the Court of Appeals. The court issued a unanimous opinion affirming the validity of the Final Rule and all employers are required to comply with the Home Care rule.

    Effective November 1, 2015, the only allowable exemption from overtime will be for DHEs classified as “Live-In” workers by CDC+ Consumers.

    In November 2014 and January 2015, we communicated with you about CDC+ program changes due to the DOL’s new Home Care rule. The rule regulates directly hired employees (DHE) who provide Companion Services and new minimum wage and overtime requirements. The rule eliminates exemptions from minimum wage and overtime, in most cases. The Home Care rule was to take effect on January 1, 2015. In June 2014, associations of home care companies filed a lawsuit in federal court challenging the Final Rule. In December 2014 and January 2015, U.S. District Judge Richard Leon issued opinions and orders vacating the Final Rule’s revised third party regulation and revised definition of companionship services, respectively.

    The Department of Labor filed an appeal of the district court’s orders to the U.S. Court of Appeals for the District of Columbia Circuit. The case is Home Care Association of America v. Weil, No. 15-5018 (D.C. Cir.). On August 21, 2015, the Court of Appeals issued a unanimous opinion affirming the validity of the Final Rule and reversing the district court’s orders.

    More information is available on the Department of Labor’s website: dol.gov/whd/homecare/.

    DOL has issued a series of fact sheets to provide guidance on the related issues and can be found at: dol.gov/whd/regs/compliance/whdfsFinalRule.htm.

    The most pertinent fact sheets to CDC+ Consumers and their Directly Hired Employees are:
    Fact Sheet 79B: Live-In Domestic Service Employment Under the Fair Labor Standards Act (FLSA)
    Fact Sheet 79B: Live-In Domestic Service Employment Under the Fair Labor Standards Act (FLSA)
    Fact Sheet 79C: Recordkeeping Requirements for Individuals, Families, or Households Who Employ Domestic Service Workers Under the Fair Labor Standards Act (FLSA)

  • 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.