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Consumer Directed Services (CDS) is a Medicaid-based program that provides personal care attendant (PCA) services to individuals with disabilities, enabling them to live independently in their own homes and communities. Participants, also known as Consumers, in the CDS program employ a personal care attendant (PCA) of their choice to assist them with activities of daily living. The tasks may include grooming, bathing, toileting, meal preparation, housekeeping, laundry, essential transportation and other tasks. Consumers are responsible for hiring and managing their attendants. A qualified friend or family member may be hired as a PCA (with a few exceptions).