Bloom Alaska Healthcare Services is an agency that helps qualified Consumers keep their independence, stay in the community, and manage their own personal care by hiring personal care attendants (PCAs). Consumers receive PCA services if they qualify under the State of Alaska Medicaid CDPCA program. The Consumer is the employer of the PCA, and is fully responsible for recruiting, hiring, scheduling, training, and, if necessary, firing PCAs. We perform fiscal intermediary functions for the Consumer, including processing time sheets, billing Medicaid, and PCA payroll. We also act as a dual employer (employer of record) of the PCAs. We provide training for the Consumer and resources for PCA training and also assist the Consumer in maintaining program compliance. The main objective of the CDPCA program is to empower the Consumer through independence and control over their own care.