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Consumer Directed Services

Medicaid-Based Home Care


Get Paid to Care for Your Loved One

Consumer Directed Services (CDS) is a Missouri Medicaid-based program that enables individuals (the consumer) who need help at home to direct, train, and employ their own caregivers to assist them with activities of daily living (ADLs). At zero cost to the consumer, they can hire friends or family members as a Personal Care Attendant (PCA), and their friend/family member gets paid to do so. 

While this program is not limited to the elderly, it does assist seniors who are unable to perform routine daily activities, due to illness or a disability.


Assistance Available For

• Bathing • Mobility • Grooming

• Cooking • Exercise 

• Housekeeping

• Companionship 

• Medication Reminders

• Ostomy/Colostomy Hygiene

 • Physician Office Visits

And More!

Consumer Eligibility Requirements

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✔︎ 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.

Personal Care Attendant Eligibilty Requirements


✔︎ Be 18 years of age or older.

✔︎ Be a relative or friend.

✔︎ Must pass a background check.*

  May not be the spouse of the consumer.

  May not be physically and/or mentally disabled.

*1st Advanced Care completes all required background checks and helps you get your personal care attendant prepared for employment.

Your Caregiver Gets Paid Weekly


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

✔︎ Excellent pay rate - $14/hr.

✔︎ Weekly Payment.

✔︎ Direct Deposit.

✔︎ Payroll and tax processing.

✔︎ Case Management.

How Do I Get Started?

Contact 1st Advanced Care or complete the online referral to start the process. First, we’ll collect some basic information about you and the services you need.  

You’ll be contacted by the State to complete an in home assessment to develop your plan of care for personal care assistance needs.

Once 1st Advanced Care receives your care plan, our staff will guide you through the process of hiring, training and supervising your personal care attendant (PCA). Your attendant may be a friend or a family member, but cannot be your spouse. The attendant must be at least 18 years of age and pass a background screening.

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