5100, Agency Option

Revision 20-1; Effective March 16, 2020

5110 Description

Revision 20-1; Effective March 16, 2020

In the agency option, the managed care organization-contracted provider is responsible for managing the day-to-day activities of the direct service provider and all business details. Some individuals select the agency option because of the simplicity and convenience of receiving services. For example, in the agency option, it is the provider agency, not the member, that is responsible for:

  • locating qualified attendant(s) to provide services;
  • any negligent acts or omissions by the attendant(s), and liability for those acts;
  • handling all conflicts with the attendant(s);
  • any business details related to service delivery; and
  • training the attendant(s).