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.
Support for Caregivers and the People They Care For
For Family Caregivers (Attendant)
You’re already helping. We help you get paid and supported.
Weekly Pay
Earn income while caring for someone you love.Training & Guidance
No experience required. We provide support to help you succeed.Stability & Support
Our team helps with payroll, paperwork, and ongoing questions.Purposeful Work Close to Home
Get paid to care for someone you already help every day.
For Individuals Who Need Care (Consumer)
Stay in control while receiving support at home.
Your Caregiver, Your Choice
Choose a family member, friend, or trusted person to help you at homeMaintain Independence
Stay in your home, keep your routines, and direct your own care.You’re in Charge
In Missouri’s CDS program, the individual receiving care is the employer and makes the decisions.No Cost if Eligible
Services are covered through Missouri Medicaid for those who qualify.
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
You can select someone you trust, including:
Adult children
Other relatives
Friends
Neighbors
This person provides care while you remain in control of decisions.
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
Trusted Support, Backed by Experience
Guidance You Can Trust
We explain CDS clearly so you understand how it works and what to expect.Support for Both Client and Caregiver
We help with payroll, documentation, and ongoing support for both sides.Care That Feels Personal
Care stays with someone you already know and trustLocal Team That Answers the Phone
Our 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.Let’s See If You Qualify
Answer a few questions and a BAYADA care specialist will reach out to guide you — with no obligation or contact us at (888) 876-0111.
Eligibility and program details vary by state and individual circumstances.
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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, by law in PA, a spouse, legal guardian, 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 begin the application process.
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.
What tasks am I allowed to do as a paid caregiver?
You can be paid for helping with "Activities of Daily Living" (ADLs). This includes bathing, dressing, meal preparation, light housekeeping, medication reminders, and escorting 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.