Consumer Directed Services (CDS) in Missouri

Get paid to care for your loved one. Through Missouri’s Consumer Directed Services (CDS) program, AW Health Care helps eligible adults with physical disabilities remain independent at home—by allowing them to choose, hire, and manage their own caregiver, often a trusted friend or family member.

If you qualify for Missouri Medicaid, you may be eligible to direct your own in-home care at no cost. You choose the caregiver. We handle payroll, training, and support.

  • Medicaid-funded program for Missouri residents
  • Clients hire their own caregiver—often a family member or friend
  • No out-of-pocket cost to participate
  • Stay safe and independent at home
  • AW Health Care manages training, payroll, and ongoing support

Who Is Eligible for CDS in Missouri?

You may qualify for CDS if you meet the following criteria:

  • You are 18 years or older
  • You are a Missouri resident
  • You are eligible for MO HealthNet (Missouri Medicaid)
  • You have a physical disability requiring assistance with daily tasks
  • You are mentally capable of directing your own care

Unsure if you qualify? Call 314.726.5600 — our team can guide you through the eligibility process.

We personalize our services to meet your situation. We serve our clients respectfully, efficiently, and compassionately. We foster independence, work to preserve dignity, and strive to improve the quality of life for you or your loved one.
At AW Health Care, we’re committed to supporting your health journey at every stage of life. Through personalized in-home care, outpatient therapy, adult day program, skilled nursing, and therapy rehabilitative services, we care for the whole person—body, mind, and spirit.
Consumer Directed Services (CDS) in Missouri | AW Health Care

Get Started with CDS Today

Call 314.726.5600 or Contact Us to check your eligibility or start your application

Serving Missouri residents through our University City office

Explore Related Services:

How Consumer Directed Services Work

1. You choose your caregiver

This could be a friend, neighbor, or family member (excluding spouses and legal guardians). You become the “employer.”

2. We handle the rest
AW Health Care is your fiscal agent—we process payroll, manage taxes, assist with caregiver onboarding, and ensure compliance with Missouri’s Medicaid regulations.

3. Care is delivered at home
Your personal care attendant (PCA) helps with day-to-day needs while you remain safely and independently in your own home.

Payment Options

  • MO Medicaid  
Consumer Directed Services (CDS) in Missouri | AW Health Care

What Services Can a PCA Provide?

Your chosen caregiver can help you with:

  • Personal hygiene: bathing, grooming, toileting
  • Dressing and undressing
  • Meal preparation and feeding assistance
  • Housekeeping: laundry, dishes, cleaning
  • Mobility support and transfers
  • Transportation to medical appointments or errands
  • Medication reminders
  • General supervision for safety

These services are designed to replace or prevent nursing home placement by supporting your independence.

What AW Health Care Provides

As a Missouri-approved CDS provider, we handle:

  • Initial eligibility verification and enrollment support
  • Training for your personal care attendant
  • Ongoing support and care plan documentation
  • Payroll, timesheet processing, and taxes
  • Compliance with MO HealthNet guidelines
  • Annual reassessment and case coordination

Benefits of the CDS Program

  • You stay in control of your care
  • Your caregiver gets paid through Medicaid funding
  • You can receive personalized support from someone you trust
  • Services are provided in your home, not an institution
  • CDS is designed to preserve your freedom, dignity, and lifestyle

We are a women-owned company, ranked in the top 10% of home health agencies in the St. Louis region, proudly delivering care to more than 1,500 clients each day, backed by over 400 team members.

Contact Us!

When you fill out this form, you can expect to receive a call and email from our professional staff. We will reach out to you and answer your questions.

FAQs About Consumer Directed Services (CDS)

No. Under Missouri CDS rules, you cannot hire a spouse or legal guardian. However, other relatives—including adult children—are eligible.

No. The CDS program is funded by MO HealthNet (Medicaid). As long as you meet eligibility, there is no cost to you.

Yes. You can hire or replace caregivers at any time. You are the employer and make all staffing decisions.
Our team will help you begin the process. We work directly with the state to help determine your eligibility.

No. CDS is available statewide. AW Health Care serves multiple counties throughout the St. Louis Metro Area and surrounding regions.