Through Missouri’s Consumer Directed Services (CDS) program, eligible individuals can choose a family member or trusted person to provide their care — and that caregiver can get paid. Integrity Home Care helps guide you through the process and provides the support you need to get started.
Care at Home From Someone You Trust
Find Your Local Team to Get Started
Connect with your local BAYADA team to start a referral conversation or arrange care for a client or resident.
Please select a county to see local teams
Boone County Team(CCJ | 1132)
Office Location
905 Safari Drive, Suite 101, Columbia, MO, 65202
573-260-5747Greene County Team(SCJ | 1136)
Office Location
2131 E Primrose Street,, Springfield, MO, 65804
Laclede County Team(LCJ | 1135)
Office Location
1758 West Elm St,, Lebanon, MO, 65536
Jackson County Team(KDJ | 1134)
Office Location
3741 NE Troon Drive, Suite 101, Lee's Summit, MO, 64064
Jasper County Team(JCJ | 1133)
Office Location
4830 E 32nd Street, Suite 1, Joplin, MO, 64804
Support for Caregivers
You’re already providing care for someone you love. We’re here to support you.
Weekly Pay: Maintain your financial stability while caring for your loved one at home.
Professional Guidance: No prior experience is needed. We provide the training and ongoing clinical resources you need.
Comprehensive Benefits: Enjoy health insurance, PTO, 401(k), and scholarship opportunities.
Support for Individuals Needing Care
You deserve to stay safely at home with dignity and choice.
Your Caregiver, Your Choice: You are empowered to choose a trusted loved one to provide your care.
Maintain Independence: Stay in your own home and keep your existing routines.
No Cost to You: If eligible, your care is fully covered through Pennsylvania Medicaid waiver services.
How It Works
Getting Started With Missouri Consumer Directed Services (CDS)
Determine Eligibility
To qualify, the person receiving care must:
Have Missouri Medicaid
Be age 18 or older
Need help with daily living activities (bathing, dressing, mobility, meals, etc.)
Be able to direct their own care
Our team can help you understand the requirements and next steps.
Choose Your Caregiver
Choose Your Caregiver
You can select someone you trust, including:
Adult children
Other relatives
Friends
Neighbors
They provide care while you remain in control of decisions.
We Support the Process
We Support the Process
Integrity Home Care helps make CDS easier by supporting you with:
Paperwork and enrollment guidance
Payroll services
Training resources
Ongoing support when questions come up
In Missouri CDS, the client is the employer—and we help you manage the details.
You don’t have to figure out Medicaid or CDS alone.
We help you understand your options and guide you through each step.
Why Families Choose Integrity Home Care
Guidance, Support, and Trusted Care Throughout the CDS Process
Guidance You Can Trust
We explain CDS clearly, so you can understand how it works and what to expect.
Support for both Client and Caregiver
We support both the client and caregiver with payroll, documentation, and ongoing guidance.
Care That's Personal
Care stays with someone you already know and trust, while you remain in control.
Local Team That Answers the Phone
Our local team is available when you need help—not just during enrollment.
A Respected Missouri Provider
Integrity Home Care is known for high-quality support in CDS services across the state.COMMON QUESTIONS
Everything you need to know about eligibility, enrollment, and coverage—so you can focus on what matters most.
Can I really get paid to care for my family member?
Yes. If your loved one meets the clinical and financial eligibility requirements for Pennsylvania’s Medicaid waiver programs (specifically CHC), you can be hired and paid as their caregiver.
Who can be the caregiver?
Most family members, friends, or trusted individuals can serve as caregivers. However, under Pennsylvania law, a spouse, legal guardian, power of attorney (POA), or representative payee cannot be the paid caregiver.
Do I have to leave my current agency?
If you are already receiving waiver services through another provider, you have the right to choose your agency. We can help you facilitate a smooth transition to BAYADA if you decide our clinical support and benefits are a better fit for your family.
Is there any cost to apply?
No. BAYADA provides a free consultation to help you understand the program and how to get started.
How many hours can I get paid for?
The number of hours is determined by your loved one’s insurance provider (Managed Care Organization) based on their specific care needs. During the enrollment process, an assessor will visit the home to determine the appropriate level of support.
How long does it take to get started?
The state’s eligibility process typically takes between 60 and 90 days. Because it can be a long wait, we recommend starting your application as soon as possible. BAYADA stays in touch with you throughout this period so you’re ready to begin the moment approval comes through.
Steps to Apply for Waiver Services
What tasks am I allowed to do as a paid caregiver?
You can be paid for helping with Activities of Daily Living (ADLs), including bathing, dressing, meal preparation, light housekeeping, medication reminder, and accompanying your loved one to medical appointments.
Does my loved one need to have both Medicare and Medicaid?
Most participants in the CHC Waiver are "dual-eligible" (having both Medicare and Medicaid), but you may still qualify if your loved one only has Medicaid and requires a nursing facility level of care. We can help you check these specific requirements.