Consumer Directed Services (CDS)
ILCSEMO’S Consumer Directed Services (CDS) department is a vendor for a personal care attendant service program. The purpose of the CDS program is to help people with physical disabilities to remain independent in their home or to develop a plan for those already institutionalized to be allowed to return home. This allows those individuals the freedom of choice when hiring a personal care attendant. This purpose statement is based on ILCSEMO’S independent living philosophy of striving for the independence of people with disabilities.
Missouri Centers for Independent Living (MOCIL) is the original state-certified and leading trusted resource for personal attendant services such as Consumer Directed Services. MOCIL allows for anyone to find a CDS Provider that is local to you, so that you may find the best fit for support, and have access to in-home care and assistance with household chores, meal preparation, and transportation. Please click here to learn more about MOCIL CDS providers located across the state.
Consumer controlled model vs. medical model of other in-home services
The consumer (person with the disability) is responsible for the services including recruitment, hiring supervising and replacement of personal care attendants. Medical models choose the attendant for the consumer.
Promotion of independent living in the community of their choice
The CDS program provides the necessary in-home care to enable the individuals with a disability to remain as independent as possible and maintain a level of dignity. These qualities are frequently lost in institutional settings. CDS services are provided in one’s own home.
Allows consumers to hire a person of their choice
The consumer may hire a person of their choice including family members with the exception of a spouse.
Allows consumers to choose the attendant’s working hours
The CDS program consumer, serving as the employer for the attendant, can set the working hours of the attendant to match their needs. Other agencies often dictate the hours the attendant is available.
Provides necessary transportation
CDS provides transportation for the consumer to go into the community for various reasons, medical and other appointments, as well as other transportation needs that allow the consumer to be independent when he/she cannot do so without assistance. This service is not allowed in other In-home services.
ELIGIBILITY REQUIREMENTS
All applicants must be MEDICAID eligible -- if spend down is a factor, it must be met on the first day of each month or the personal care attendant cannot work until it has been met unless the consumer chooses to pay for the services out of pocket.
Consumer must be 18 years old or older
The applicant must live in one of the four counties primarily served by the program which are Butler, Carter, Ripley and Wayne counties -- however, the program is consumer driven and on occasion a person may request to be on a program with an Independent Living Center outside their designated counties.
Consumer must be cognitively able to direct his/her own care attendant in all areas including paperwork
Consumer must meet the required amount of points on a client assessment which will be conducted through the Division of Health and Senior Services
OTHER RESOURCES PROVIDED
Home modifications
Assistive technology
Information about disabilities
Referrals for related services
Assistance including items that Medicaid does not cover such as adult diapers and catheter supplies
For more information, contact Lisa Holmes, CDS Program Director or Ericka Tomlinson, CDS Assistant Director
To apply as a CDS attendant please call or visit us in person.