Consumer Directed Services General Information

Consumer Directed Services (CDS) include:

  • 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.

Funding Sources
Services are authorized by DHSS/DSDS or its designee and are reimbursed using two major funding sources:

  1. Medicaid (Title XIX of the Social Security Act) through MO HealthNet Division (MHD); and
  2. General Revenue (GR) through the DHSS/DSDS

Statutory and Regulatory Requirements
As the applying vendor, it is your responsibility to ensure your company’s operating policies and procedures are compliant with all applicable statutory and regulatory requirements. Consumer Directed Services’ (CDS) minimum requirements are located in the following state laws, regulations, Provider Manuals and Provider Memos: