Traditionally, developmental disability service providers have managed all the services funded through the Division of Disability and Aging Services on behalf of people with developmental disabilities and their families.  Today, people have a choice in who will manage their services. There are four options available to people who receive services:

• Agency-Managed Services: When the developmental disability service provider manages all of a person's services, whether it is by the Designated Agency, a Specialized Service Agency or other contracted provider. This is the most common method of how services are managed.

• Shared-Managed Services: When the developmental service provider manages some, but not all, of the services for the person or family. For example, the service agency may provide service planning and coordination and may arrange for other services, such as home supports, while the person or a family member manages the community and work supports separately. Many family members, as well as some people with developmental disabilities, have chosen a shared-management arrangement.

• Self-Managed Services: When an individual chooses to manage all of his or her developmental services. This means that the person has the responsibility of hiring his or her own staff and overseeing the administrative responsibilities associated with receiving developmental services funding. Some of these responsibilities include contracting for services, developing a service plan, fulfilling the responsibilities of the employer, and planning for back-up support or respite in the case of an emergency.   Fiscal and Supportive Intermediary Service Organizations (ISO) are available to people who self-manage and will do many of the bookkeeping and reporting responsibilities of the employer.

• Family-Managed Services: When a person's family member chooses to manage all of his or her developmental disability services. The same responsibilities and resources noted above for self-management services are also associated with and required for family-managed services.