For more information, please call us: 1-888-449-4043

Consumer Directed Services (CDS)

The Missouri CDS program is a Missouri Medicaid program that allows people who receive services from the Missouri Department of Human Services to hire and manage the people who provide their care. This non traditional type of home care enables families to play a more proactive role in the provision of their loved one’s home care services. From selecting and hiring family members to provide their care to creating their own schedules, the Missouri CDS program provides the flexibility the consumer needs to manage their busy lifestyles and get the most out of their home care experience.


To be eligible for Missouri’s Consumer Directed Services (CDS) program, you must be eligible and active with Missouri Medicaid. You must be at least 18 years of age and have a physical disability. The CDS provides assistance with services in the home, such as meal preparation, cleaning, and personal care. The consumer will self-direct their own care, including hiring and supervising the personal care attendant, and approving time sheets. The attendant may be a friend or family member, at least 18 years of age, but cannot be a spouse or legal guardian. The attendant must have a clean background check through the Missouri State Family Care Safety Registry before being employed by a CDS participant.


Please contact our intake department by calling (314) 867.8865 to get more information about the (CDS) program. Our intake coordinators will talk with you about the program, your current needs, and will gather the necessary information to get you enrolled with the CDS program.

Getting home care service becomes critical to consider because of issues in trust. Some may be skeptical about acquiring external help for their loved one’s safety. We understand this concern well enough, that we have made it possible for you to direct your own care by hiring your own friends or relatives to be the service deliverer. However, exempted to this is the spouse of the patient. Nevertheless, incomparable is the feeling of relief that you can have, knowing that the person giving you care is someone whom you trust so much and realizing that alone, leaves you and your precious family, confident and at peace. Truelove’s has the absolute Best In-Home, Adult Day care and Consumer Directed Services and makes all this available to you.


Following our phone call we will share your information with the Missouri Department of Health and Senior Services (DHSS). A DHSS representative will then contact you to arrange a free in home consultation. This consultation will help you decide if the CDS program is right for you. They will also determine the number Personal Care hours per day a client may receive through the (CDS) program.


  • 18 years or older
  • Have active Missouri Medicaid
  • Have a physical disability limiting your ability to perform activities of daily living
  • Score at least 21 points on a needed assessment performed by DHSS
  • Wish to remain living in your own home and avoid nursing home placement
  • Have the desire and ability of making decisions regarding both your healthcare and your employees

For more information about our service, please call us at 314-867-8865 or send us a message using our online contact us form.

* Currently not available in Tennessee