National question: Can a family caregiver get paid? Official programs decide eligibility.
Missouri Consumer Directed Services (CDS)¶
Missouri Personal Care Assistance Consumer Directed Services (CDS) is a Medicaid state plan HCBS model offered through the Division of Senior and Disability Services. Participants who can self-direct and live independently choose an enrolled CDS provider, and the provider processes payroll for the attendant.
Missouri CDS is a state plan consumer-directed personal care model for Medicaid participants age 18+ with a physical disability who can self-direct and meet nursing facility level of care. CDS participants choose an enrolled provider; the provider processes payroll for the individual attendant. Participants can choose who provides services, and the attendant may be a family member, but cannot be the participant's spouse or legal guardian.
Some details for this program are still being verified. Check the official source for the most current information.
Eligibility¶
- Care recipient age: at least 18
Questions to ask the program¶
These are questions to ask the program, not a verdict on your eligibility. Confirm the current rules directly with the program.
- Does the person receiving care live in Missouri? — Residency is usually the first thing a program checks.
- Is the person receiving care in the covered age range (18 or older)?
- 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.
- What documents do you need from us to start an application?
- Is there a waitlist right now, and how long is it?
What this record does not yet say¶
- exact income limits by household size
- usable consumer directed primary source
- current cds worker and representative rules
- current cds service limits
- current application documents and timing
Services¶
Missouri CDS is a state plan consumer-directed personal care model for Medicaid participants age 18+ with a physical disability who can self-direct and meet nursing facility level of care. CDS participants choose an enrolled provider; the provider processes payroll for the individual attendant. Participants can choose who provides services, and the attendant may be a family member, but cannot be the participant's spouse or legal guardian.
How to apply¶
- Referral for Services: anyone can make a referral for someone who might need HCBS (the individual, a family member, a friend, or a doctor). Assessment for Eligibility: an assessment is completed with the individual or their legal representative to determine nursing facility level of care and how much help is needed.
Use the official program page for application details: official program page.