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Have Medicaid or Veterans Benefits? Hire the caregiver of your choice, family member or friend - they'll get paid by us!

✔︎ CDS Caregivers Earn $14/hr

✔︎ Weekly Pay & Direct Deposit

✔︎ Serving All of Missouri

✔︎ Joining is Easy

Assisted Living at Home | Serving Missouri Residents

1st Advanced Care's key philosophy: Your Care Always Comes First - We understand there’s no place like home, but sometimes this requires assistance. Most Missourians can remain in their homes and avoid or delay institutionalization with the help of our client-centered services.

Consumer Directed Services: Medicaid-Based Home Care provided at no cost to disabled individuals who need help performing activities of daily living (ADLs).

Learn More >


Homemaker Care for Veterans: A Veterans Affairs program that provides assistance with activities of daily living (ADLs), in order to help Veterans continue living safely and independently in their own homes.

Learn More >


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Caregivers Don't Have to Wait to Get Paid

Excellent Pay Rates*

Weekly Payment

Direct Deposit

*Rates: CDS: $14/hrVeterans Care: $15/hr

How To Get Started



Call Us Today

Get Assessed

Our intake specialist will prescreen you and make a referral for an assessment. An assessor will visit your home to determine if you’re eligible for the program.


Select A Caregiver

It's Your Choice


You Get Home Care

They Get Paid

You get the help you need in the comfort of your home, from a person you trust. Its zero cost to you, while your caregiver gets paid by us.


MO HealthNet Card.001.png

A CDS program participant must:

✔︎ Be eligible for MO HealthNet (Medicaid).

✔︎ Be 18 years of age or older.

✔︎ Be able to direct his or her own care.

✔︎ Be capable of living independently with the services of a personal care attendant.


caregiver-companionship-consumer directed services

Receive care from anyone who is 18+ with a clear background screening:

✔︎ Friend.

✔︎ Family member.

✔︎ Child.

With the exception of spouses.



As a Fiscal Management Service (FMS) vendor, we offer:

✔︎ Excellent pay rate - $14 per hour.

✔︎ Weekly Pay.

✔︎ Direct Deposit.

✔︎ Payroll and tax processing.

✔︎ Case Management.

Consumer Directed Services

Consumer Directed Services (CDS) is a Missouri Medicaid-based program that enables consumers to recruit, hire, and direct their own home care workers. One of the highlights of the program is that it allows consumers to hire family members and friends. This program will provide compensation to the loved one who is caring for the consumer as long as that loved one is not a spouse.

Veterans Homemaker Care

Whether you need someone to assist you or a loved one with accomplishing daily activities such as bathing, transportation or meal preparation, know that 1st Advanced Care is dedicated to providing the best home care for our Veterans.

1st Advanced Care offers Veterans homemaker care services that help create a safe, clean, and comfortable living environment so your loved one can stay at home, living independently with a greater sense of confidence and security – and with greater peace of mind for you.

1st Advanced Care Is A Certified
Veteran Owned Small Business 

Happy Senior Couple

Client Testimonials

Lorenzo C

With their help, I am able to care for my uncle and still earn  income. The staff was very helpful getting everything setup .”

Robyne B

I am so grateful to have service with 1st Advanced Care! I did not have anyone nearby to care for me , so they sent me a PCA and she is such a sweetheart. She comes out to my house a few times a week and this is wonderful. Thank you!

Victoria M

I want to say how much  my mother and I appreciate your agency responding to our needs so quickly. Your agency was very easy to work with and made the transition of my cousin taking over caring for my mother in my absence  much easier to deal with.

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