The Consumer Directed Services Program is available for Missouri Medicaid  and private pay eligible persons with physical disabilities. This program is no cost to the consumer*. This program is designed for the consumer to hire their own personal care attendant and manage in assisting them with activities of daily living (ADL). The attendant can be related to the consumer. *This at no cost to you.


State Plan Personal Care, which includes but is not limited to:      

  • Personal Care – bathing, grooming, dressing, personal hygiene
  • Toileting – ostomy or catheter hygiene; bowel and/or bladder routine; general toileting activities
  • Health – use of transfer devices/mobility issues/prostheses, passive range of motion, manual assistance with medications, treatments, cleaning and maintenance of equipment
  • Housekeeping – cleaning, dusting, bed linens, laundry, trash
  • Meals – meal preparation and/or assistance with eating, washing dishes
  • Transportation – essential shopping/errands, school or employment
  • Independent Living Waiver (ILW) – this program offers additional services beyond the limitations of the Consumer Directed State Plan Personal Care program to a limited number of eligible consumers. ILW services include case management, personal care, environmental accessibility adaptations and specialized medical equipment and supplies​
  • Nurse Visit- medication setup

*Spouses cant not provide care through CDS program

*Some consumers may require to pay a spend down

We will take care of you at your home! Start with Non-Medical Home Care in St. Louis, Missouri soon by calling us at Full Circle Home Care Missouri, LLC  (314) 764 - 4300. You’re welcome to send an email to as well.