Who must affiliate with the CDDO when self-directed care is selected?
The answer to this depends upon how many parties are active in the provision of services to the recipient. If, with the family’s support, a payroll agent can clearly demonstrate they are acting on behalf of the individual or designee, then the payroll agent is required to affiliate with the CDDO and must meet all legal tax and insurance requirements. If the family is self-directing and billing Blue Cross/Blue Shield directly, they must affiliate with the CDDO.