·State program
Consumer Directed Services
Consumer Directed Services allows Missouri Medicaid recipients to direct their own home and community-based care services and hire their own providers.
What you get
Services, Coverage, as recorded:
- authorized in 15-minute units; CDS cost may not exceed 60% of the participant's HCBS cost maximum (may extend up to 100% when combined with Advanced Personal Care and RN visits)
Questions that decide eligibility
GiveCare prepares the questions; the program makes the decision. Bring these to the call or the application:
- 01
Does the person receiving care live in Missouri?
Residency is usually the first thing a program checks.
- 02
Does your relationship to the person — spouse, parent, or other relative — count for this program?
- 03
What counts as a qualifying disability or level of care need, and what documentation shows it?
- 04
Does the VA disability rating meet the program’s minimum (our record lists null%)?
- 05
Do the work hours meet the minimum (our record lists null hours)?
- 06
Is there a caregiver-specific department, coordinator, or support line? Ask for it by name.
Many agencies have one that isn’t advertised on the website.
- 07
What documents do you need from us to start an application?
- 08
Is there a waitlist right now, and how long is it?
Who qualifies, in the source’s words
Where our record has a direct quote from the official source, here it is — otherwise, this is our best reading of the rule.
Applicant age
“Be at least eighteen (18) years of age”
health.mo.gov →Disability of the person receiving care
“Be physically disabled, as defined by 19 CSR 15-8.100”
health.mo.gov →Minimum VA disability rating
Minimum VA disability rating: null%.
Work hours
Minimum work hours: null.
Relationship to the person receiving care
“The attendant may be a family member. However, the attendant cannot be the participant’s spouse or legal guardian”
health.mo.gov →
How to apply
- 01
The participant is the attendant's employer of record (selects, hires, trains, and supervises the attendant); CDS is authorized following a comprehensive face-to-face assessment with the Division of Senior and Disability Services (DSDS)