Consumer-Directed Attendant Support Services (CDASS)

Consumer-Directed Attendant Support Services (CDASS) lets individuals direct and manage the attendants who provide their personal care, homemaker, and health maintenance services, rather than working through an agency. Through CDASS, individuals are empowered to hire, train, and manage attendants of their choice to best fit their needs. CDASS lets individuals direct and manage the attendants who provide personal care, homemaking, and health maintenance services.

Consumer Direct Care Network Colorado (CDCO) serves as the Training and Support contractor for the CDASS program. We guide individuals through training and provide program guidance.

We work collaboratively with the Financial Management Services (FMS) contractors, case management agencies, and Colorado Department of Health Care Policy & Financing (HCPF) to ensure individuals successfully enroll as CDASS members.

Eligibility

To use CDASS, you must:

  • Be enrolled in Health First Colorado (Colorado’s Medicaid program)
  • Meet eligibility for the CFC program, including:
    • Having an assessed need for Personal Care, Homemaker, and/or Health Maintenance Activities
    • Meeting an institutional level of care
      • If you are already enrolled in an HCBS waiver, you automatically meet institutional level of care
  • Participate in service planning with your Case Management Agency (CMA)

If you’re still receiving CDASS through a waiver and haven’t yet transitioned to CFC, your Case Manager will guide you through the timing and next steps.

Learn more about CFC Eligibility and Services  and connect with your Local Case Management Agency to get started.

Not yet enrolled in Health First Colorado?

8 Steps to Enrollment

1. Enroll in a Community First Choice
  • Meet with your case manager to discuss why CDASS is right for you compared to other options.
  • If you choose CDASS, you will complete an assessment of your care needs and additional enrollment paperwork.
  • After completing the assessment process, your case manager will send a training referral and your
    enrollment paperwork to Consumer Direct Care Network Colorado (CDCO).
  • When your referral is received, a training coordinator will call you within 24 business hours to schedule your orientation. In-person, virtual (phone or video call), group, and self-paced options are available.
  • CDCO will train you and give you additional paperwork to fill out. CDCO will also verify your contact information.
  • Once you complete your orientation, you will need to pass a readiness assessment to show you understand CDASS.
  • Your training coordinator/peer trainer will help you complete CDASS paperwork, including your
    Attendant Support Management Plan (ASMP).
  • Choose the Financial Management Services (FMS) provider you want to help you with processing
    timesheets, paying your attendants, and filing taxes on your behalf.
  • CDCO will review your ASMP for completion and contact you if corrections are needed.
  • CDCO will submit your ASMP to your case manager for approval.
  • Your case manager will approve your ASMP or let you know what adjustments are needed.
  • CDCO will send you a training completion letter once your case manager approves your ASMP.
  • CDCO will send your approved paperwork to your selected FMS provider.
  • After receiving your ASMP and enrollment paperwork, the FMS will contact you within three business days.
  • You will receive FMS enrollment paperwork to make you, or your authorized representative, the
    employer of record. Your desired attendants will get their employment paperwork.
  • The FMS will run background checks on your attendants.
  • When you complete all FMS enrollment steps, your FMS will let your case manager know and request your Prior Authorization Request (PAR) from them.
  • Case managers must enter enter your PAR in HCPF’s system called the interChange (also called Bridge). A PAR has information about your authorized services, service hours, and certification period for CDASS.
  • Once the PAR is received by your FMS, they will send you a confirmation of your CDASS start date and attendants’ “good to go” dates.
  • You will train your attendants to provide services, log their shifts, and oversee their performance.
  • If, at any time, an attendant cannot come to work or doesn’t show up, you are responsible for contacting
    and scheduling a backup attendant.
  • Stay in communication with your FMS to get ongoing support as an employer. If you are struggling to
    work with your FMS, you can get dedicated assistance from CDCO’s Information and Assistance team or contact HCPF at HCPF_PDP@state.co.us  or 303-866-5638.
  • After services begin, Consumer Direct Care Network Colorado (CDCO) is always available to help answer questions about CDASS. As the Training and Support contractor, we have many resources available to help you navigate CDASS!

CDASS Program Manual

The CDASS Program Training Manual is your comprehensive guide to understanding the roles of all the players in the CDASS process, as well as the specifics members needs to be successful in the program. This training tool will provide you with answers to many of your questions about CDASS.

CDASS Forms

Member CDASS Forms

Forms
CFC CDASS Attendant Support Management Plan (ASMP) - June 2025
CDASS Attendant Support Management Plan (ASMP) Update - June 2025
Waiver CDASS Attendant Support Management Plan (ASMP) - PDF
CDASS Attendant Support Managment Plan (ASMP) Part Three Addendum - Safety Plan for Attendant Background Check Exception Request
Forms
CDASS AR Assignment Form - July 2025 - CFC/Waiver
Forms
CDASS Member Responsibilities Form - June 2025 - CFC/Waiver

Case Manager CDASS Forms

Forms
CDASS Case Manager Enrollment Checklist – June 2025 – CFC
CDASS Member Enrollment Packet – December 2025 – CFC/Waiver
Forms
Denver LTSS CDASS Monthly Allocation Worksheet (effective October 2025) - XLS
LTSS CDASS Monthly Allocation Worksheet (effective October 2025) - XLS
Denver CFC CDASS Monthly Allocation Worksheet (effective October 2025) - XLS
CFC CDASS Monthly Allocation Worksheet (effective October 2025) - XLS
Denver LTSS CDASS Monthly Allocation Worksheet (effective July 2025) - XLS
LTSS CDASS Monthly Allocation Worksheet (effective July 2025) - XLS
Denver CFC CDASS Monthly Allocation Worksheet (effective July 2025) - XLS
CFC CDASS Monthly Allocation Worksheet (effective July 2025) - XLS
Forms
CDASS-IHSS Physician Attestation of Member Capacity - June 2025 - CFC/Waiver
Forms
CDASS Task Worksheet - XLSX
Forms
CDASS Referral Form – November 2025 – CFC/Waiver
Forms
Direct Care Services Calculator - Adults - December-2025 - CFC
Direct Care Services Calculator - Children - December 2025 - CFC

To save your changes in fillable .pdf forms such as the Attendant Support Management Plan (ASMP) you need Adobe Reader XI or newer. Download the latest version of the free software here:

If you are unsure of how to complete a form or are unable to find what you need, please contact the Consumer Direct Care Network Colorado office:

CDASS Resources

Member CDASS Resources

Resources
CDASS Overview Flyer - June 2025 - CFC/Waiver
Mediation Request Form - PDF
Member and Authorized Representative Open Forum Q&A - Feb 2025 - CFC/Waiver
CDASS and IHSS FAQ - Jan 2026 - CFC/Waiver
Resources
Background Check Resources - June 2025 - PDF
CDASS Background Check Crimes of High Risk and Operational Memo - March 2023 - PDF
Resources
Choosing an FMS for CDASS - April 2025 - PDF
Palco Cost To You - December 2025 - PDF
Palco Wages Now Worker Flyer - PDF
PPL Cost To You - September 2025 - PDF
Annual FMS Member Satisfaction Survey Reports
CDASS FMS FAQ - November 2025 - PDF
PPL Wagestream Financial Wellness App FAQ - May 2025 - PDF
Resources
CDASS Background Check Crimes of High Risk and Operational Memo - March 2023 - PDF
CDASS Two Attendant Requirement Protocol - PDF
Resources
EVV Attestation of Exemption Form (EVV Exemption Form) - February 2025 - PDF 🌐
Operational Memo 20-051 - EVV Live-In Caregiver Exemption - PDF
CDASS EVV Compliance Protocol V 2.2
CDASS EVV Compliance Protocol Policy V 2.2
CDASS EVV Compliance Protocol Reset Communication and Schedule
CDASS Member EVV Clarification Letter - PDF
How to Complete the EVV Attestation of Exemption Form Fact Sheet - February 2025 - PDF
Resources
Attendant Rate Setting Guide - November 2025 - PDF
Resources
CDASS Service Utilization Review and Allocation Management Protocol - PDF
Resources
CDASS Peer Trainer Position Information - PDF
Resources
Security Best Practices - August 2025 - PDF
How to Send Secure Email 🌐

Case Manager CDASS Resources

Resources
CDASS Overview Flyer - June 2025 - CFC/Waiver
Case Manager Open Forum Q&A - January 2025 - CFC/Waiver
CDASS FMS FAQ - November 2025 - PDF
Case Manager CDASS Documentation Examples - June 2025 - PDF
Choosing an FMS for CDASS - PDF
Mediation Request Form - PDF
Member and Authorized Representative Open Forum Q&A - February 2025 - CFC/Waiver
Resources
CDASS Overspending Protocol
Notice to Member for 1st Episode - DOCX 🌐
Notice to Member for 2nd Episode - DOCX 🌐
Notice to Member for 3rd Episode - DOCX 🌐
Notice to Member for 4th Episode - DOCX 🌐
Resources
CDASS Two Attendant Protocol - PDF
Resources
EVV Attestation of Exemption Form (EVV Exemption Form) - February 2025 - PDF 🌐
Operational Memo 20-051 - EVV Live In Caregiver Exemption - PDF
CDASS EVV Compliance Protocol V 2.2
CDASS EVV Compliance Protocol Policy V 2.2
CDASS EVV Compliance Protocol Reset Communication and Schedule
CDASS Member EVV Clarification Letter
Caregiver EVV Clarification Letter
How to Complete the EVV Attestation of Exemption Form Fact Sheet - February 2025 - PDF
Resources
Over Cost Containment Process for CDASS
Resources
CDASS Service Utilization Review and Allocation Management Protocol
Resources
Case Manager Rate Change Workflow - July 2022 - PDF
CDASS Bridge Training
PPL Rate Increase Guide - July 2023 - PDF
CDASS Rate Increase 10-day Notice Letter - July 2025 - DOCX
PPL CDASS Rate Increase Guide - January 2023 - PDF
Denver Rate Increase Guide PPL - 2022 - PDF
CDASS Bridge Correction Instructions - October 2022 - PDF
CDASS PAR Revision Training Guide for Case Managers - November 2022 - PDF
Health Maintenance Activities (HMA) Documentation Member Checklist - December 2025 - CFC
Resources
Security Best Practices - August 2025 - PDF
How to Access Secure Email - PDF 🌐
Resources
Mediation Request Form - June 2024 - PDF

HCPF Resources

If you have any issues related to Electronic Visit Verification (EVV), enrollment, taxes or other topics, you can send feedback directly to the Colorado Department of Health Care Policy & Financing’s (HCPF) Participant-Directed Programs (PDP) Unit.

Mediation Services

Mediation Services For Members And Case Managers

Consumer Direct Care Network Colorado (CDCO) helps mediate concerns about the services Health First Colorado (Medicaid) Members receive through Consumer Directed Attendant Support Services (CDASS). If Members are unable to work with their Case Manager to achieve the care they believe is needed, Members and Authorized Representatives (AR) have the option to utilize the mediation process.

Mediation services are provided by CDCO as part of the Information and Assistance Services offered to Members and ARs. Mediation through CDCO can assist with facilitating discussions and conversations about disagreements in the care plan and authorized services.

Requests for mediation can be submitted by the Member, an AR, and Case Managers. The Member or AR must consent to mediation. When requested, reasonable accommodations will be provided for people with disabilities by notifying CDCO prior to the scheduled mediation call.

After the mediation session, CDCO will issue recommendations only, not a definitive decision. The Member retains all legal appeal rights for decisions made by the Case Management agency. The Case Manager will be responsible for finalizing the decision for services, when authorized, as a result of the mediation.

Mediation Request Form – November 2024

Mediation Process

  1. The person requesting mediation completes the Mediation Request form and sends it to CDCO.
  2. CDCO will process the referral to mediation and contact the Case Manager within one business day to collect information.
  3. CDCO will contact the Member or AR to collect information and to request consent to participate in mediation.
  4. CDCO will set up a mediation call with all the people involved and provide reasonable accommodations when requested.
  5. After listening to information from all the participants during the mediation call, CDCO will provide a recommendation for services.
  6. The Case Manager will issue a Health First Colorado notice of action with the decision, and new or revised services that may be authorized, and information on the Member’s right to appeal.

CDASS Videos

Consumer Directed Services
Standard Precautions
CDASS Overview
Introducción a CDASS
Case Manager Role in CDASS
Puesto de gestor de casos a CDASS
CDASS Skills Training Mock Video

Fraud Prevention

Fraud prevention, education, and reporting are among Consumer Direct Care Network’s most important responsibilities.

It is also your responsibility to recognize the signs of fraud. Learn about your rights and responsibilities in preventing and reporting fraud in this fraud prevention video.

To report suspected fraud to the Department of Health Care Policy & Financing, visit its Fraud, Waste, and Abuse website.

Create your own user feedback survey