Homemaker Chore Services include cleaning, cooking, dusting, taking out the trash, washing and laundry conducted for a participant who needs the home based assistance and is unable to obtain it through family.
Under the Consumer Directed Services, a consumer is able to direct their own care and may hire up to four individuals to attend to his /her activities of daily living. Usually, the consumer identifies someone they trust (a family member, a friend, a neighbor or a caregiver who may have worked with the consumer in the past). Under the state regulations, the consumer must be responsible for ensuring that their caregiver follows directions and does not commit fraud. The agency, hired as a vendor of CDS services provides payroll support, oversight and background checks as well as regular visits to the CDS care recipient via phone and in person.
Personal Care Assistance is assistance with participant's personal needs, including bathing & grooming, feeding, toileting, transfer and mobility and other functions of daily living. Advanced Personal Care assists with activities of daily living when devices and procedures related to altered body functions are required.
Whether you wish to become a caregiver for your loved one or for a senior or a disabled participant, we encourage you to contact us with an application. For your convenience, an application is provided online, but may be brought in or dropped off in person, [ link to careers] An interview may then be scheduled and your references, criminal check as well other required checks will be completed at that time. We are able to provide full, part and PRN employment for willing caregivers.
If a participant is a MoHealthNet recipient and is approved for services by Missouri Department of Health and Senior Services, there are no fees to the participant. If a Saint Louis city senior resident is in need of intermittent or temporary assistance and is eligible for coverage through one of our partners, limited services will be offered free of charge to eligible seniors. Donations are requested. 'Private pay' fee-based services are available to seniors who may not qualify for state insurance coverage or may not meet full criteria of nursing home level of care.
Care plans are made between the authorizing party and the participant. Care plans are built on information gathered by an in-person assessment of participant's unique healthcare needs. These plans are generally revisited annually, but all participants are encouraged to contact our team or the Department of Health and Senior Services if their needs have changed and when care plan is no longer effectively addressing them.


Also referred to as ADL, these are defined as the 6 key activities which together represent the ability of an individual to care for themselves and be independent. They include: 1) Dressing 2) Toileting 3) Continence 4) Bathing 5) Feeding oneself 6) Transferring (i.e. ability to move oneself from bed to chair or in and out of a bathtub)
In order to qualify for Medicaid coverage of either Home & Personal Care or Consumer Directed Services , an assessment must be conducted by a state of Missouri certified assessor. This comprehensive assessment evaluates factors that determine whether a senior meets the nursing home level of care: • physical state and abilities – hearing, vision, walking, falls, balance, movement, activity level, sleep, fatigue, continence; • mental state and abilities – memory, thinking, cognitive skills, decision making skills, social interactions and relationships, behavior, any changes; and • capacity, i.e. ability to act independently in relation to meal prep, housework, finances, shopping, meds etc. The results will determine if the state believes care is warranted, and what types and duration of tasks are appropriate. The (annual) assessment also determines whether or not a participant is able to direct their own care. If you would like to learn if you qualify for a pre-screening and referral, call our office at 314-645-7600.
A service plan (AKA care plan) is the customized written document that specifies the services and supports that are to be furnished to meet the preferences, choices, abilities and needs of the individual, and that assist the individual to direct those services and supports and remain in the community. We are frequently asked why one's individual care plan prepared by the Department of Health and Senior Services does not allow for more than a specific amount of a certain task. These tasks are based on the minimally required assistance to enhance one's ability to live independently and - due to the fact that MoHealthNet pays for the services to assist participants in maintaining community living - enhanced services may be cost prohibitive to the state. Therefore, care plans are not always able to meet every need of a qualified senior, but meet these needs minimally to avoid long term care placement.
Medicaid is a joint federal and state program that helps low-income individuals or families pay for the costs associated with long-term medical and custodial care, provided they qualify. Although largely funded by the federal government, Medicaid is run by the state where coverage may vary. Missouri's Medicaid Program called MO HealthNet provides health care access to low income individuals that are elderly, disabled, members of families with dependent children, low-income children, uninsured children, pregnant women, refugees, or children in state custody. Adults in ME (Medical Eligibility) categories that pertain to persons who are in the Aid to the Blind or pregnant women receive a full comprehensive benefit package including primary, acute and preventive care, hospital care, dental, prescriptions, and vision. Adults other than those in the Aid to the Blind and pregnant women receive a limited benefit package of services depending on their ME category. Services are received through a fee-for-service (FFS) or managed care delivery system For more information, see:
Home Health Aide is professional who provides light housekeeping, help with chores, and some errands. This is not someone with nursing training or skills. Home Care is often referred to as “caregiving” or non-medical in-home services in which help is provided for activities of daily living. Medical aspects of daily living are met through nursing services or advanced personal care services.


Participants are expected to: * explain any specific information about tasks authorized on the care plan * provide supplies needed for tasks in the care plan *sign a completed time sheet after each occurrence of service *permit use of telephony when possible *ensure that reported services adequately reflect tasks that were completed as governed by the care plan * notify us if a participant plans to be absent from home * notify us of any problems with care delivery * accept or select an aide without regard to race, color, age, or religion
According to MoHealth Net and DHSS guidelines, participants are not allowed to require services to their family or pets. Participants may not threaten, physically, verbally or sexually abuse or allow any members or guests of the household to abuse the aide. Unless private pay arrangement is made, participants may expect that the aide will complete assigned tasks only in participant quarters, in participant's presence, even if the residence a larger home where other family members reside. Participant may not take any part in fraudulent activity, including but not limited to sharing of funds, falsification of time records, or misrepresentation of medical need for nursing home level of care. Engagement in fraudulent activity will be immediately reported and may result in loss of services or loss of insurance benefit.
While CDS allows consumers to select and hire up to four personal aides, only registered and screened by Missouri Family Care Safety caregivers are accepted. Our responsibility is not only to ensure consumers' ability to direct their care, but also conduct regular screenings to verify their safety and caregiver's trustworthiness. Participant of home care services are advised not to leave valuables, cash or checkbook in plain sight, not to be asked for a car ride, not to pay cash to the designated aide and not to engage in an unprofessional relationship.
MoHealthNet only covers services offered to the participant in their own home, or listed place of residence. No other services, provided outside of the state or said location will be covered.