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Personal Care Assistance

Consumer Directed Services in Missouri (CDS)

The Missouri Consumer Directed Services program helps people with significant physical disabilities obtain assistance with personal care and daily activities to maintain or increase their independence. This includes services in the home such as meal preparation, cleaning and personal hygiene.

The cost of these services is covered by Missouri Medicaid (MO HealthNet) and is administered by the Missouri Department of Health and Senior Services (DHSS). The Whole Person contracts with DHSS to provide case management and payroll services for the program.

The goal is to provide individuals more personal autonomy in determining how best to meet their own care needs. In other words, you have choices – including hiring and supervising your attendant and approving time sheets for payment.

Who is Eligible?

To be eligible for Missouri’s Consumer Directed Services (CDS) program, you must:

  • Have active Missouri Medicaid
  • Be at least 18 years of age
  • Have a physical disability and/or chronic medical condition such as diabetes that interferes with your ability to care for yourself without assistance
  • Have the desire and ability to self-direct your own care and employ/train your own attendant

If you are unable to self-direct or choose not to do so, contact The Whole Person to discuss other options and obtain a referral for other services.

The Whole Person works closely with the DHSS to provide joint services, if needed. It is possible to receive services from more than one program at the same time or to select which program will best meet your needs.

If you are currently receiving CDS services from another agency, you will need to contact DHSS to request a transfer of services to The Whole Person. Contact DHSS at 573-526-4542; or email:info@health.mo.gov.

How Does It Work?

An Independent Living Advocate will help you throughout this process!

  1. On your first call about the program, we’ll collect basic information such as your name, contact information, Social Security and Medicaid numbers, etc. We’ll also ask you to provide a brief overview of your situation and the services you need.
  2. You’ll be contacted by the State to develop your plan of care and to schedule a visit in your home for a review of your current medications and personal care assistance needs.
  3. The Whole Person staff will guide you through the process of hiring and supervising your attendant and completing all necessary paperwork.
  4. After DHSS approves your care plan, an Independent Living Specialist will be assigned and will meet with you to train you about completing and submitting time sheets for your attendant and other program guidelines.
  5. 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 test.

 

Home and Community-Based Services in Kansas (HCBS)

KanCare is the program that the State of Kansas uses to administer Medicaid. Kansas has contracted with three Managed Care Organizations (MCOs) to coordinate healthcare for all of those on Medicaid. Each individual has a choice of one of the MCOs. All HCBS are a part of KanCare. The health plans are required to coordinate all care a consumer receives.

HCBS in Kansas oversees the process of providing supports and services for people with disabilities in Kansas. Kansas HCBS Medicaid Waivers allow individuals to “self-direct” some or all of their in-home supports. Participant-Direction means that the participant or their representative has the right to hire, train, schedule, supervise and employ Personal Care Service Workers (PCSW) to work with the participant in their home and community.

Who is Eligible?
To be eligible for Kansas HCBS, you must:
•    Have active KanCare (Kansas Medicaid)
•    Be at least 18 years of age
•    Have a physical disability and/or chronic medical condition such as diabetes that reduces your ability to care for yourself without assistance
•    Have the desire and ability to self-direct your own care and employ your own attendant.

Services Provided by TWP
The Whole Person provides payroll services for three HCBS waivers.

Physical Disabilities Waiver - Provides the following services as long as they are approved in an Integrated Service Plan (ISP) from the MCO:

  1. Personal Services
  2. Assistive Services
  3. Enhanced Care Service (ECS)
  4. Personal Emergency Response Systems (PERS) and Installation

Qualifications for Physical Disabilities Waiver:

  • At least 18 years old and not older than 65
  • Determined disabled by social security
  • Need assistance to perform activities of daily living.
  • Qualify for Medicaid nursing facility

Traumatic Brain Injury (TBI) Waiver - Provides services to ensure that individuals can stay in their home and be independent in a safe, healthy environment.

Qualifications for the Traumatic Brain Injury Waiver are:

  • Have a traumatic brain injury
  • Be at least 18 years old and not older than 65
  • Meet criteria for TBI rehabilitation hospital placement
  • Qualifies for Medicaid

Frail Elderly (FE) Waiver - Provides the option for seniors who receive Medicaid and qualify to receive community- based services, as an alternative to nursing facility care. Provides the following services as long as they are approved in a ISP from the MCO:

  1. Personal Care
  2. Household Tasks
  3. Health Services

Qualifications for Frail Elderly Waiver are:

  • Over 65 years old
  • Qualifies for Medicaid
  • Meets Medicaid long-term care guidelines

The Whole Person is committed to working with individuals, families, and communities to promote independent living and individual choice to people with disabilities.


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