Medicaid home-care network managing 138,000+ caregivers across self-directed programs
Consumer Direct Care Network operates a large-scale Medicaid home-care backend, processing payments and care coordination for over 138,000 caregivers serving 104,000+ beneficiaries. The tech stack is enterprise-Microsoft (Workday, Azure, SQL Server, Teams) with contact-center tooling (CXone) and healthcare-specific billing (Waystar). Active adoption of Microsoft Fabric signals a move toward internal analytics; concurrent pain points around Workday performance and system automation suggest the organization is scaling workflows faster than infrastructure can comfortably handle.
Notable leadership hires: State Director, Area Director
Consumer Direct Care Network, founded in 1990, operates the administrative backbone for self-directed home-care programs across Medicaid networks nationwide. The model empowers care recipients—older adults, children, individuals with developmental or intellectual disabilities, and veterans—to hire and direct their own in-home support workers. CDCN employs 1,400+ administrative personnel and manages payroll, compliance, and care coordination for 138,000 caregivers and 104,000 care recipients. The organization maintains ongoing relationships with Medicaid programs across multiple states and is structured around state and area director leadership. Notable operational challenges include regulatory compliance (MCO standards, Medicaid rules), financial sustainability of programs, and managing a geographically distributed, highly layered workforce.
CDCN uses Workday for HR/payroll, SQL Server and Azure for backend infrastructure, CXone for contact-center operations, Waystar for healthcare billing, and Microsoft Office/Teams for collaboration. The organization is actively adopting Microsoft Fabric for analytics.
Consumer Direct Care Network manages payroll for 138,000+ caregivers and coordinates care services for 104,000+ care recipients across Medicaid programs nationwide.