Getting Started | Nick Roetto

Common Mistakes New SDP Families Make (and How to Avoid Them)

Key points

  • A $20 caregiver costs about $23 to $25 an hour once employer burden is added
  • No one giving direct personal care can start before criminal background clearance, unless exempt
  • The regional center approves services; the FMS pays what is authorized

Most problems in a family's first year of the Self-Determination Program (SDP) come from a short list of misunderstandings. None are about intelligence; the program's rules are simply not obvious until they bite. Here are the eight we see most, and what to do instead.

1. Budgeting wages without employer burden

A caregiver paid $20 an hour does not cost $20 an hour. Employer taxes, workers' compensation and paid sick leave are added on top of the wage, and the total comes out of your budget. Our published figures: about 21% on top of wages under the Co-Employer model and about 15% under Sole Employer, so a $20 caregiver costs about $23 to $25 an hour all-in. A spending plan that divides the budget by the wage rate alone buys fewer hours than it promises. Build the line at wage plus burden. See employer burden explained.

2. Buying what a generic resource already covers

SDP funds cannot pay for a service that a generic agency provides. The regional center checks every spending plan for this. In-Home Supportive Services (IHSS) is the big one: it is a separate program, and hours IHSS would cover cannot be duplicated with SDP money. Medi-Cal and the school district are the other two the regional center looks at first. Before writing a service into your plan, ask your service coordinator whether a generic resource is expected to provide it, and apply there first if so. See what an SDP budget can and cannot pay for.

3. Paying a legally responsible person

A legally responsible person, typically the parent of a minor child or a spouse, and in some cases a court-appointed guardian, cannot be paid with SDP funds for services they would normally provide anyway. Families sometimes write themselves into the plan as a caregiver and discover the problem when the regional center reviews it, or worse, after months of paying. A conservator parent, or a parent with power of attorney for an adult child, is not "legally responsible" in this sense and may be paid for qualified services. The distinction matters; ask before you plan around it. See paying family members and legally responsible persons.

4. Starting a caregiver before background clearance

Any caregiver who gives direct personal care must have criminal background clearance before starting work. Same-home family members are exempt; everyone else is not. The provider pays for the check, and the FMS directs the person to fingerprinting. A caregiver who starts on Monday and clears the following Friday has a week of hours that cannot be paid from the budget. Start the clearance the day you decide to hire, not the day they start. See background checks for SDP caregivers and hiring your first caregiver under SDP.

5. Changing the spending plan late

Your spending plan can change during the year, but the change has to go through the regional center and come back as an updated authorization before the FMS can pay against it. Families often agree a new rate or a new service with a caregiver or vendor on a handshake, start it, and then send the paperwork. The FMS cannot pay the difference until the authorization arrives, and it may not be able to pay retroactively. Send the change before it starts. See changing your spending plan mid-year.

6. Missing the 10th-of-the-month timing

An FMS cannot pay anyone until it holds a signed, approved spending plan and matching authorizations. Our rule is that the plan must reach us by the 10th of the month before the intended start date, with authorizations in place the week before start, and onboarding then takes two to three weeks. Your regional center may set its own deadline as well. A family that picks a start date first and does the paperwork second usually ends up moving the start date. Work backwards from the deadline instead.

7. Not reading the monthly expenditure report

Every FMS must give you a monthly report showing what was allocated, what was spent in the last 30 days and what remains. Families who file it unread discover in month nine that a category is empty. Read it every month. Two questions to ask: is any category running faster than one twelfth per month, and is anything on it that you did not expect? Both are easier to fix in month three than in month eleven.

8. Assuming the FMS approves services

The FMS pays what the regional center has authorized. It does not decide what is allowed, and it cannot make an unauthorized purchase allowed by paying it. When a family asks the FMS to "approve" a new service, the honest answer is that the request belongs with the service coordinator. Knowing this saves a round trip: send the request to the regional center first, and tell the FMS once the authorization exists. See who does what in SDP.

How Sentinel Four handles this

Several of these mistakes are caught at our initial consultation, before they cost anything. Your dedicated case manager reads the spending plan with you and flags a wage line with no room for burden, a service a generic resource should cover, or a caregiver who is a legally responsible person. We direct every new caregiver to fingerprinting, and no one goes on payroll before clearance and onboarding paperwork are done. The portal shows your budget by category with 24/7 access, so you are not waiting for the monthly report to see a category running hot. We do not approve or deny services, and your case manager will send a request that belongs with the regional center back to you with that explanation rather than sit on it. The 10th-of-the-month rule is ours precisely so that a start date, once set, holds.


Questions about the Self-Determination Program?

Every Sentinel Four family has a dedicated case manager. Call 530-515-2948 or send us a message — we usually reply within one business day.

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