Self-directed services allow the consumer to instruct the caregiver on how to give them the best possible care. Because the consumer knows exactly what they need, this model of care allows them the freedom to hire or fire whomever they choose to suit their needs. The consumer is expected to hire and train their own caregivers to help them perform daily tasks such as laundry, taking medications on time, or cooking. Also, because this is a Medicaid funded program, the consumer does not need to worry about any medical bills. Provided they meet the program qualifications listed below, this is a 100% free service.