Pediatric Servicesmissouri consumer directed care services

The Missouri CDS program is a Missouri Medicaid program that allows people who receive services from the Missouri Department of Human Services to hire and manage the people who provide their care. This non traditional type of home care enables families to play a more proactive role in the provision of their loved one’s home care services. From selecting and hiring family members to provide their care to creating their own schedules, the Missouri CDS program provides the flexibility the consumer needs to manage their busy lifestyles and get the most out of their home care experience.


To be eligible for Missouri’s Consumer Directed Services (CDS) program, you must be eligible and active with Missouri Medicaid. You must be at least 18 years of age and have a physical disability. The CDS provides assistance with services in the home, such as meal preparation, cleaning, and personal care. The consumer will self-direct their own care, including hiring and supervising the personal care attendant, and approving time sheets. The attendant may be a friend or family member, at least 18 years of age, but cannot be a spouse or legal guardian. The attendant must have a clean background check through the Missouri State Family Care Safety Registry before being employed by a CDS participant.


Please contact our intake department by calling (866) 383-3535 to get more information about the (CDS) program. Our intake coordinators will talk with you about the program, your current needs, and will gather the necessary information to get you enrolled with the CDS program.


Following our phone call we will share your information with the Missouri Department of Health and Senior Services (DHSS). A DHSS representative will then contact you to arrange a free in home consultation. This consultation will help you decide if the CDS program is right for you. They will also determine the number Personal Care hours per day a client may receive through the (CDS) program.


Your assigned DHSS case manger will be available to provide guidance on how to hire, train, and supervise your personal care attendant, as well as how to submit accurate timesheets. Because you must be able to act as an employer by performing the above duties, it is very important that you are able to assume the responsibility of “self-directing” your care. If you are unable to do so, or choose not to, you will be advised to contact the Department of Health and Senior Services for similar in-home services through their regular program (not consumer-directed).


  • 18 years or older
  • Have active Missouri Medicaid
  • Have a physical disability limiting your ability to perform activities of daily living
  • Score at least 21 points on a needed assessment performed by DHSS
  • Wish to remain living in your own home and avoid nursing home placement
  • Have the desire and ability of making decisions regarding both your healthcare and your employees

To get started, please give us a call by calling (866)383-3535 or complete this short form.


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Pediatric Services