Carina and the transition to the Consumer Directed Employer (CDE)


Posted by Rachael Tom

The transition to the Consumer Directed Employer (CDE) is now underway. To learn more, please read below.

What’s happening?  

As you have heard, Consumer Direct Care Network Washington (CDWA) is in the process of becoming the administrative employer of the approximately 46,000 Individual Providers (IPs) who care for home care consumers receiving services from the Department of Social and Health Services (DSHS). Under the new employment model, CDWA will be solely focused on providing employment support for IPs and consumers will continue as managing employers, allowing DSHS to resume client case management as their primary focus.

Who is impacted by this transition?

This will affect all IPs who are contracted with DSHS and consumers who receive a service from an IP.

Is the transition happening all at once, or over time? 

The transition is happening in two phases. Phase 1 begins on February 1 in Ferry, Island, Kitsap, Lewis, Mason, Pend Oreille, Pierce, San Juan, Skagit, Spokane, Stevens, Thurston, Whatcom and Whitman Counties. Phase 2 begins on April 1 in Adams, Asotin, Benton, Chelan, Clallam, Clark, Columbia, Cowlitz,  Douglas, Colville Confederated Tribes, Yakama Nation, Franklin, Garfield, Grant, Grays Harbor, Jefferson,  King, Kittitas, Klickitat, Lincoln, Okanagan, Pacific, Skamania, Snohomish, Wahkiakum, Walla Walla and Yakima Counties.

Is the Home Care Referral Registry (HCRR) impacted by this transition?

As part of the transition, CDWA is absorbing the HCRR and will assist consumers who need technological assistance to use Carina to find a provider. The transition of the HCRR to CDWA follows the overall transition timeline (see above). CDWA will take over from the HCRR on February 1 for counties in Phase 1. HCRR will continue their role in Phase 2 counties, until they transition to CDWA on April 1. After April 1, CDWA staff will be available across the state to assist consumers to sign up in the Carina system and help IPs get (re) contracted or hired to work. Consumers in Phase 1 counties will need an Okay to Work from CDWA instead of case manager authorization before receiving care.

Will the transition to the CDE impact my use of Carina? 

This transition will have no impact on your ability to use Carina, which means your account access and experience using our website will not change. You can continue to log into your account at any time here

How can I be listed on Carina as an IP?

If you’re a Washington State caregiver participating in the Individual Provider Medicaid program and are interested in listing on Carina, learn more here.

Who should I contact if I have questions about CDWA or how they are taking over the HCRR?

If you have questions or need more information on CDWA:

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