Agency with Choice/Employer of Record

​​The NC Innovations Waiver gives people with disabilities clear choice about how they receive services. The NC Innovations Waiver refers to self-directed services as Individual and Family Directed Supports.  Individuals can direct some or all of the services that are paid through the Waiver. Cardinal Innovations offers two models of Individual and Family Directed Supports.

  • The Employer of Record Model allows the individual or the legally responsible person for the individual to be the person who legally can exercise authority over support workers and assume the other responsibilities associated with individual direction of services, just as any other agency or employer of support workers would do. The individual or the legally responsible person in this model is known as the Employer of Record.
  • The Agency with Choice Model allows the individual or legally responsible person for the individual to work with an agency that agrees to hire employees referred by them.  The agency approves/disapproves the hiring of the referred individuals and ultimately retains the responsibility of being the employer, while allowing the individual or legally responsible person to partner in managing the employee's training and supervision.  In this model, the individual or the legally responsible is known as the Managing Employer.​

Cardinal Innovations has developed a Self Direction Booklet to assist members and their families choosing how they wish to direct their services.