Home and Community Services

Most ill or disabled Missourians can remain in their own homes and avoid or delay institutionalization with the help of support services.  Home and community-based services, administered by the Division of Senior and Disability Services (DSDS), are available to eligible persons 60 or older and to adults with disabilities between the ages of 18 and 59.

DSDS administers two different programs, available in every county: in-home services and consumer-directed services.

In-home services (IHS) are designed to assist in meeting the unmet needs of a person and provide necessary assistance for the person to remain in the least restrictive environment.

In general, IHS consists of personal care, nursing services, housekeeping, respite, and adult day care services.
Consumer-directed services (CDS), although similar in nature to in-home services, are provided to persons with a physical disability and do not include any task performed by a licensed professional.  A participant of CDS must be able to direct the care planning process and hire an attendant. In general, CDS consists of personal care (bathing, cleaning, and meal preparation).

For information regarding eligibility criteria and funding sources for in-home services or consumer-directed services, contact DSDS at 866-835-3505.

For persons currently receiving services who want a change in care plan, contact the DSDS Regional Evaluation Team.