The agency hires, trains, and fires support staff. People may be supported in their own home, or in an agency-owned or leased building. The agency determintes when, where, and what type of support will be provided to the individual, although the individual may have some input into this process.
All money is controlled by the agency itself.
The individual can hire support people of their choice through the agency program, although state regulations exclude some family members from employment as support staff, and all potential staff must go through a background check before being hired. Different levels of service exist, and these levels dictate where services may occur. All money is channeled through the agency itself, although the individual has some control over what the money will be spent for. The individual may appoint a self-directing other to assist them if they need help. Individuals determine what supports they need and where and when the supports will occur, and hire, train, and fire their own staff.