In-Home Health Care Services

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 Yes, as long as they are not your spouse or legal guardian. 

 If you are unable to self-direct, other Medicaid programs such as Agency-Directed Services may be a better fit. 

 CDS does not cover skilled nursing, physical therapy, or tasks that benefit the entire household. 

No. You hire, train, and supervise your own caregiver. Our role is to help with payroll, taxes, and Medicaid compliance. 

 Some medical visits are covered under Medicaid’s Non-Emergency Medical Transportation (NEMT). If not covered by NEMT, CDS may include transportation support. 

 To qualify, you must be 18 or older, have a physical disability, be on active Medicaid, meet the level of care required for a nursing facility, and be able to self-direct your care. 

 Self-directing means you can hire, train, supervise, and if necessary, dismiss your caregiver. You must also approve timesheets, monitor visits, and report changes to your care needs. 

 Transportation is authorized in minutes per month, based on how many trips you typically need per week 

 Yes, but the program may deny services if the guardian arrangement proves you cannot safely self-direct your care. Each case is reviewed individually. 

 Yes, caregivers can live with you, but they cannot be your spouse or legal guardian. 

 No. Missouri law does not allow spouses or legal guardians to be paid caregivers under CDS. 

 You can hire another caregiver. As the employer, you have full control over hiring and training new attendants. 

 You can have more than one caregiver if needed, as long as the hours fit within your authorized care plan. 

 No professional license is required. You will train them based on your needs. Some tasks, however, that require medical training (like injections) are not covered under CDS. 

 Caregivers can help with bathing, grooming, dressing, toileting, meal preparation, medication reminders, laundry, cleaning, and essential transportation. 

 No. CDS does not cover skilled nursing, physical therapy, or other medical services requiring a licensed professional. 

 Yes. Essential errands like grocery shopping, banking, or picking up prescriptions are included. 

 The number of hours you receive depends on your care plan and state rules. While CDS can cover many hours, it usually does not authorize continuous 24/7 care. 

 CDS only covers tasks that benefit you directly. It does not pay for child care or chores that primarily help the entire household. 

 The state pays the provider agency, and the agency processes payroll for your caregiver on your behalf. 

 Hours are recorded using Electronic Visit Verification (EVV), which tracks clock-in and clock-out times. 

 No. The provider agency manages payroll, taxes, and Medicaid compliance. You approve timesheets before payment. 

 The number of hours is determined by your care plan and your level of need. CDS authorizations are calculated in 15-minute units. 

 Yes. CDS can cover up to 60% of the Medicaid cost maximum, though exceptions may be reviewed if your needs are greater. 

 Yes, if those appointments are not already covered under Medicaid’s Non-Emergency Medical Transportation (NEMT) program.