Consumer Directed Services

About Consumer Directed Services

caregiver talking to a coupleTo be eligible for Missouri’s Consumer Directed Services (CDS) program, you must be Medicaid eligible and Medicaid active, at least 18 years of age and have a physical disability. The program 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.

How to Acquire CDS

  1. An Independent Living Advocate will talk with you about the program and your needs
  2. Your information will be provided to Department of Health and Senior Services (DHSS).
  3. You will be contacted to arrange a meeting in your home for a face-to-face assessment.


An Independent Living Advocate will assist you in making a referral to have an assessment performed, which we can help you plan for, if you wish.

We work with you to develop a plan in assisting you with your personal care needs. We will also determine the number Personal Care hours per day a client may receive through the (CDS) program.

Self Directing Your Care

Your assigned case manager 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 our in-home services. Please call 314-256-9661 for further inquiries or assistance.