Consumer-directed services are a concept of care that assumes clients have the right and ability to determine how their needs will be met, and who will provide the service. The ability to hire family or friends for homemaking or personal care, as well as supervising the tasks to be performed are a couple of examples of what makes this program unique. With the consumer as the employer, financial aspects are handled by Focus Healthcare as a vendor. This eases the burden of the caregiver's responsibility to report tax liabilities and to perform payroll tasks. Consumer Directed Services are extended to individuals enrolled in State Medicaid Programs.