Self-Directed Attendant Care is available as an option to those served under the Aged & Disabled Medicaid Waiver who qualify for attendant care. The program allows for the hiring of a friend, neighbor, or formally trained person to serve as personal attendant, or An individual may choose to advertise, interview and hire the best-qualified applicant. Individuals may choose among the following options: Self-Directed Attendant Care, Self-Directed Attendant Care with traditional agency-based services, or utilize the traditional agency-based services they are familiar with.