Consumer-directed care provides you with more choices, options, and control over your care, allowing you to hire a friend, a relative, or a neighbor to assist you.

Take Control of Your Care

Consumer Directed Services

Take Control of Your Care is based on the philosophy that disabled adults should have choices about the way they receive services and who provides them. With the help of Circle of Care, St. Louis, Client Care Coordinator, disabled adults can hire, train, schedule, and supervise their workers to assist with personal care and homemaking tasks. Disabled adults can choose their workers -- they can be partners, friends, neighbors, or any family member (except a spouse).


  • Workers can assist with personal care tasks-- bathing, dressing, ambulating, toileting, eating, taking medications or other similar tasks.

  • Workers can assist with homemaking tasks – meal preparation, housework, laundry, grocery shopping, errands, and other similar tasks.


Circle of Care, St. Louis assists with employer paperwork (payroll, tax withholding and reporting) and issues payroll checks to workers on disabled  behalf.


A CDS program participant must:
  • Be eligible for MO HealthNet (Medicaid).

  • Be 18 years of age or older.

  • Be able to direct his or her own care.

  • Be physically disabled.

  • Be capable of living independently with the services of a personal care attendant.

  • Require at least a nursing facility level of care.


“With consumer directed services, I was able to hire my daughter to be my homemaker.”

St. Louis Region

415 Chez Paree, Suite B 

Hazelwood, MO 63042

Office: (314) 873-3501 

Fax: (314) 328-5604 


Southeast Region

Executive Business Center

5303 Old Cape Road East

Jackson, MO 63755

Office: (573) 328-0562

Fax: (573) 340-1432

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© 2019 by Circle of Care, St. Louis.