Consumer-Directed Services (CDS)

Consumer-Directed Attendant Services
CDS is a consumer-directed approach to attendant services. The program allows an adult (18 and older) eligible for nursing home care to retain the services of a personal attendant, and actually direct his or her care. Services are paid for by state and federal funds through MO HealthNet (formerly known as Medicaid).

If you qualify for CDS, you make the decisions about who provides your care, and when and how this care is provided. For example, CDS consumers hire, train, supervise (and even fire!) their own attendants. They are actually the employer, complete with an IRS Employer ID number.

Delta Center provides CDS in the Missouri counties of St. Charles, St. Louis, Lincoln, Warren and St. Louis City according to guidelines established by MO HealthNet and the Missouri Department of Health and Senior Services (DHSS).

Who Pays for CDS?
CDS is funded by MO HealthNet (Medicaid) and State of Missouri.

How Does Delta Center Support CDS?
Delta Center works with you to determine and verify your eligibility. We review a number of factors, including your MO HealthNet eligibility, ability to direct your care, current support systems, and medical status, to ensure eligibility before processing your application. CDS is not available to persons residing in a residential care facility.

Once we verify your eligibility, we make a referral to Department of Health and Senior Services to have an assessment performed, which we can help you plan for, if you wish. During the assessment, services may be authorized for personal care (bathing, toileting), housekeeping, laundry, meal preparation, shopping and other needs as identified.

Senior mother and daughter huggingDelta Center offers training or support you may require to manage your care. For example, we'll help you learn to

  • Recruit prospective attendants
  • Interview and screen applicants
  • Manage MO HealthNet (Medicaid) requirements
  • Advocate with the appropriate state agencies to assure your needs are being met
  • Schedule and supervise your attendant(s)

Delta Center manages on your behalf:

  • Criminal and abuse/neglect background checks on attendant candidates
  • Processing timesheets and payroll for your attendant(s)

To find out more, please contact our CDS Intake Specialist at 636-926-8761.

Please Note:

Individuals who are enrolled on this Medicaid-funded program have certain responsibilities.  Delta Center has responsibilities, too, as we are the fiscal administrator.  Services are monitored to ensure compliance in handling federal and state dollars.  Inaccurate time sheets authorizing an attendant to work when you are in the hospital or otherwise not at home, or any deception to access Medicaid funds when not due, are considered Medicaid fraud.  All such instances are reported to state and federal officials for prosecution.

What Our Consumers Say

Delta Center rates 94% or higher on each of the outcome measures of consumer satisfaction. Here's why:

Customer Comment 5

The payroll keeper is helpful. I love the way they treat me. My (staff) has been fantastic.

Customer Comment 4

I love Delta Center. They are supportive. They call me. They get back to me. (Staff) is really good. The Office Manager is helpful.

Customer Comment 3

Out of all the people I’ve ever had since I’ve become disabled, (staff) has been the most phenomenal case worker. I’ve had a number of case workers and she has been the most amazing case worker I have ever had. She is a phone call or email away and she is amazing at responding.

Customer Comment 2

I appreciate Delta Center and the workers are always kind. Staff is very good with me. She calls me all the time and asks if I need anything. She comes to visit me and asks if I need anything.