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Home & Community Based Senior Services
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Missouri Care Options

Includes respite, advanced respite, homemaker/chore, personal care, advanced personal care, meals, transportation, adult day care, and other services to help with activities of daily living.

Eligibility

Elderly or disabled, Medicaid eligible and assessed by the Division of Senior & Disability Services to qualify for nursing home placement if services paid for by government funds.  None if private pay.

Agency/Access

Authorized by the Division of Senior & Disability Services.

Regulated by the Division of Senior & Disability Services and the MoHealthNet Division.

Payer Sources

  • Medicaid
  • Social Service Block Gran
  • Older American Act
  • Private Funds

Home Health Care

Eligibility

Elderly or disabled, homebound, have a skilled health care need that requires intermittent care.

Agency/Access

Physician ordered.  Department of Health - Bureau of Home Care and Rehabilitation Standards

Payer Sources

  • Medicare-elderly
  • Medicaid-non-elderly
  • Private Funds
  • Private Insurance

Adult Day Care

Eligibility

Elderly or disabled, homebound, have a skilled health care need that requires intermittent care.

Agency/Access

Physician ordered.  Department of Health - Bureau of Home Care and Rehabilitation Standards

Payer Sources

  • Medicaid
  • Private Funds

Hospice

Includes interdisciplinary team of health and social service professionals that provide necessary services including nursing, medications, personal care, respite, ministerial and social work.

Eligibility

Have a life expectancy of less than 6 months.

Agency/Access

Authorized by the physician and patient.

Regulated by the Department of Health - Bureau of Home Care and Rehabilitation Standards.

Payer Sources

  • Medicaid non-elderly
  • Private insurance
  • Volunteer
  • Hospice services - no charge
  • Medicare - elderly
  • Private funds

Consumer Directed Services (CDS)

Must be able to self-direct, be physically disabled and meet nursing home level of care, and be Medicaid eligible

Agency/Access

Division of Senior and Disability Services

Payer Sources

  • Medicaid
  • Private Funds
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