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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.

Eligibility

  • Care recipient must have a qualifying disability
  • Applicant age: at least 18
  • Relationship: spouse, parent, other relative

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.
  • Does your relationship to the person — spouse, parent, or other relative — count for this program?
  • What counts as a qualifying disability or level of care need, and what documentation shows it?
  • 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

  • a direct application link
  • eligibility criteria

How to apply

  • 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)