Self Direction
Empowering Individuals With Disabilities TO Lead Meaningful Lives
We provide person centered and transparent supports for people who Self Direct their services. Our goal is to help you to design and manage your supports and services.
Self-Directed Services
Self-Direction is a person-centered service option under New York State’s Home and Community -Based Services (HCBS) waiver program. Self-Direction enables individuals and their families to choose the supports and services that best meet/align with their needs, goals, interests, and values.

Self-Direction can help:
-Learn to live more independently
-Live an active healthy lifestyle
-Be an active member of your community
CMA and our dedicated team are here to support you every step of the way toward living a meaningful, independent, fulfilling life – on your own terms.


Circle of Support
At CMA, Self-Direction is a team effort. Each individual is supported by a Care Team, called your Cirlce of Support. This personalized network, chosen by the individual, works together to reach their goals. The team typically includes:
-The Individual
-Family members or other chosen advocates
-Support Broker
-Care Manager
-Fiscal Intermediary (FI)
You will need a Support Broker and FI to get started. Once identified the support broker will guide you in the process. CMA is proud to offer both Fiscal Intermediary and Broker Services. We are honored to be an active, caring part of your team every step of the way.


What Is a Fiscal Intermediary?
As an OPWDD- approved Fiscal Intermediary, CMA manages the administrative/day to day tasks that keep your services running smoothly including:
-Payroll processing for staff
-Budget tracking and oversight
-Ensuring billing and documents are Medicaid compliant
-Self-hired staff onboarding and training
-Ongoing support for individuals and families
We take care of the details so you can focus on living your best life.


What Is a Support Broker?
Community Mainstreaming offers in-house (Agency) Brokers or can coordinate with an independent contracted broker of your choice. Whichever option you chose CMA will work closely with the broker to ensure your team feels supported every step of the way. The Support Broker, working in collaboration with you and your team, plays a key role by:
-Guiding the person-centered planning process
-Assisting in developing a personalized habilitation plan and budget
-Providing ongoing training and advocacy (All things SD)
-Collaborating with your Circle of Support to help you achieve your dreams
To ensure quality and consistency, CMA host regular broker support meaning that cover:
-OPWDD updates (Regulations)
-Best practices in person-centered service delivery

Service Regions


At CMA, we are committed to inclusion and equity. Our team speaks multiple languages and brings a deep understanding of diverse cultures, helping us build trust and deliver support that truly resonates with individuals and families from all backgrounds.

Thank You Community Mainstreaming!
“As a family, we thank each and every one of you for always being available to help and to listen and to take a genuine active part in Shawn’s life. His growth and progress has been amazing to watch 💙”
– Nikkeya Bell, mother to Shawn
Ready to Learn More?
Let’s create a life that reflects your choices, goals, and dreams. Contact Community Mainstreaming Associates to get started with Self-Direction today.
