Your care. Your choice. Our support.
If you have Missouri Medicaid and need help at home, you can choose your own caregiver, even a friend or a family member, and Medicaid pays them. It is called self-directed care, and we are here to make it happen for you.
Find CDS Caregivers
You choose your caregiver. We help you meet them.
With Missouri’s Consumer Directed Services (CDS), you choose and hire your own caregiver. Many people ask someone they already know, such as a family member or friend. But what if you don’t have anyone to ask?
That’s where Caring Companions CDS can help. We’ve created a private caregiver directory to help you get to know people in your area who are interested in providing care.
You choose who to hire. We help make introductions possible. Every caregiver you can ask to meet has finished the state’s required screening.
Browsing is free and doesn’t require you to choose Caring Companions CDS as your agency. Caregiver availability and eligibility vary.
What caregivers earn
Caring for a veteran?
If the person you care for is a veteran enrolled in VA health care, our sister company, Caring Companions In-Home Senior Care, can hire the family member or friend who already cares for them through VA Community Care. The VA pays for the authorized hours, caregivers are paid weekly, and we help with the VA paperwork.
Who we are
Caring Companions Consumer Directed Services is proud to support Missourians who choose self-directed care.
Through the state's Consumer Directed Services program, we help seniors and individuals with disabilities hire and manage their own trusted caregivers, often family members or friends, while Medicaid covers the cost of care.
Whether you are just learning about CDS or ready to switch providers, we make the process simple, clear and supportive. Our vision is for every eligible Missourian to know their options and have the freedom to choose the care arrangement that fits their life.
We check your eligibility quickly, guide you through the paperwork, and support you every step of the way, so you can focus on living independently with dignity and peace of mind.
Long-term care is stressful. Really stressful. Every one of these can be eased by self-directed care, and we want to get you there as quickly and simply as possible.
Getting started
You may qualify if you:
Caregivers can help with:
The Consumer Directed Services program lets you get help at home with daily tasks while staying independent. Best of all, you choose your own caregiver, such as a family member or friend, who can be paid for their time.
Often, yes. If your parent has Missouri Medicaid, needs help with daily activities and is approved by the state for Consumer Directed Services (CDS), they can choose you as their paid caregiver, called an attendant. Caring Companions CDS pays attendants $15 to $16 an hour, every Thursday, in 27 Southwest Missouri counties. Check eligibility
The person receiving care must be 18 or older, have active Missouri Medicaid (MO HealthNet), need help with daily activities, and live in their own home, not a nursing home. They must also be able to direct their own care, or have an eligible authorized representative help them where the program allows it. Check eligibility
Yes. You can choose a trusted family member or friend. Legal guardians and spouses cannot be paid caregivers through the program.
No. Spouses and legal guardians cannot be paid through the CDS program. Often an adult child, sibling, niece, nephew or friend takes the paid hours instead, so the spouse is not carrying it all alone. Call 417-218-2888 and we will talk through your situation. Who can be your paid caregiver
With Caring Companions CDS, $15 to $16 an hour. The pay week runs Sunday to Saturday, and pay arrives the following Thursday by direct deposit or pay card. Taxes are withheld and you get a W-2. Every CDS agency sets its own pay, so rates differ between agencies. How caregivers get paid
Bathing, dressing and grooming, meals and feeding, light housekeeping and laundry, medication reminders, and errands and grocery shopping. The state's plan of care sets exactly which tasks are covered. Receive care through CDS
That is not a problem. Our private caregiver directory, Find CDS Caregivers, lets you see profiles of caregivers near you and ask to meet the ones you like. Every caregiver you can ask to meet has finished the state’s required screening, and you still choose who you hire. Request access to the directory.
Approved Consumer Directed Services are paid for through Missouri Medicaid. There is no charge to the consumer for services and hours authorized by the state. Caring Companions CDS handles the payroll, taxes and paperwork for those approved hours. How CDS works
First, check that CDS fits, online or by phone. The state then does an assessment and authorizes the tasks and hours your attendant is paid for. You sign one enrollment packet with us, we set up the employer tax numbers, and your attendant completes enrollment. Paid care begins only after the state authorizes services and your attendant's enrollment is complete. How CDS works, start to finish
It depends on a few steps that must happen first. Your family member needs active Medicaid, the state must assess and authorize CDS services, and you must finish attendant enrollment, including the required background checks and paperwork. Hours worked before all of that is complete cannot be paid. We tell you where each step stands and move as quickly as the process allows. Become a caregiver
Yes. We help coordinate the move and work to keep your care going without interruption. In many cases your authorized hours move with you, though the state may sometimes require extra steps or a new assessment. Call 417-218-2888 and we will walk you through it. Contact us
To receive care, start here. To be paid as a caregiver, start here. Or call us on 417-218-2888, or toll free 866-863-5151, Monday to Friday 9am to 4pm.
Paid through Missouri Medicaid
If you have Missouri Medicaid and need help at home, you may qualify. The state makes the final decision, and we help you through it. Approved Consumer Directed Services are paid for through Missouri Medicaid. There is no charge to the consumer for services and hours authorized by the state.
Prefer to talk? Call 417-218-2888, Monday to Friday, 9am to 4pm.
Usually within one business day. If it is urgent, call 417-218-2888.
Hear from our community
“Caring Companions made it easy to care for my grandma while I'm in college. I was able to become her paid caregiver and still keep up with school. They handled the paperwork and answered all my questions. It's been a blessing for both of us.”
“The best decision we've made for my mom's care. We didn't want her going into a facility. CDS through Caring Companions let us keep her at home, and now my sister is her paid caregiver. Real people who truly care.”
“Been in CDS for years, had a few other companies, but Caring Companions is way better. When I call they actually answer and help me. Before, I'd be on hold forever or never get a call back.”
“I'm 20 and have a disability so I need help with some daily stuff. CDS lets me get care at home and keep my independence. They don't treat me like a number, they actually care.”