Under Consumer Direct, in-home attendants are paid $11.81/hr. without health insurance.  Agencies pay at least $3.00 more per hour and some agencies offer full benefits.  Consumer Direct should be equal too or above the pay of agencies.  Also, consumers who use consumer directed services should not be required to have service facilitation.  This is not using state funding effectively, because service facilitation offers no real benefit to the consumer.  We need to return to the days where we could choose our Case Managers for waiver services instead of being forced to have a CSB since the waiver redesign went into effect.