Paying for care in Missouri
Getting paid to care for a family member in Missouri
Yes. In Missouri, a family member can be paid to give care through Consumer Directed Services (CDS) and Structured Family Caregiving Waiver (SFCW). A spouse can be paid through Structured Family Caregiving Waiver (SFCW).
Respite care for family caregivers in Missouri
Yes. In Missouri, family caregivers can get respite through two programs on record: Respite Care (Aged and Disabled Waiver) and Missouri Caregiver Program.
Checked
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Programs on record
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Consumer Directed Services (CDS)
Medicaid self-directed care
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Structured Family Caregiving Waiver (SFCW)
Structured family caregiving
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Respite Care (Aged and Disabled Waiver)
Respite program
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Respite program
How to apply
Consumer Directed Services (CDS)
- How to apply
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Ask for an Initial Referral to Home and Community-Based Services, online with the HCBS Referral form or by phone. If the minimum requirements are met, an assessor calls to schedule a face-to-face assessment in your home. At the assessment, say that you want Consumer Directed Services, where you select, hire, train and supervise your caregiver.
Source: Apply for Home & Community-Based Services (Missouri Department of Health and Senior Services)Checked
- Phone
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HCBS Intake, for a new referral.
Source: Apply for Home & Community-Based Services (Missouri Department of Health and Senior Services)Checked
Structured Family Caregiving Waiver (SFCW)
- How to apply
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Ask for an Initial Referral to Home and Community-Based Services, online with the HCBS Referral form or by phone. If the minimum requirements are met, an assessor calls to schedule a face-to-face assessment in your home. Ask about the Structured Family Caregiving Waiver. Staff from the Division of Senior and Disability Services confirm the dementia diagnosis with your physician and give you a list of SFCW providers to choose from.
The diagnosis check and provider list come from the HCBS Manual section 3.60. The request goes to the Bureau of Federal Programs, which confirms a slot is open.
Source: Apply for Home & Community-Based Services (Missouri Department of Health and Senior Services)Checked
- Phone
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The contact number listed for this waiver.
Source: Missouri HCBS Waiver Finder (Missouri Department of Social Services)Checked
Respite Care (Aged and Disabled Waiver)
- How to apply
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Ask for an Initial Referral to Home and Community-Based Services, online with the HCBS Referral form or by phone. If the minimum requirements are met, an assessor calls to schedule a face-to-face assessment in your home.
Staff from the Division of Senior and Disability Services decide eligibility and build the care plan.
Source: Apply for Home & Community-Based Services (Missouri Department of Health and Senior Services)Checked
- Phone
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HCBS Intake, for a new referral.
Source: Apply for Home & Community-Based Services (Missouri Department of Health and Senior Services)Checked
Missouri Caregiver Program
- How to apply
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To ask about enrolling, contact Memory Care Home Solutions, which runs the program under contract with the state.
Source: Missouri Caregiver Program (Missouri Department of Health and Senior Services)Checked
- Phone
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Memory Care Home Solutions. Questions about the program can also go to Senior Programs staff at (573) 526-4542.
Source: Missouri Caregiver Program (Missouri Department of Health and Senior Services)Checked
Sources
How we verify explains these dates.
- Application for 1915(c) HCBS Waiver MO.1706.R01.00, Structured Family Caregiving, effective July 1, 2026, Appendix C-2-d (approved application, Centers for Medicare & Medicaid Services, medicaid.gov) checked
- Apply for Home & Community-Based Services (Missouri Department of Health and Senior Services) checked
- Frequently Asked Questions About HCBS (Missouri Department of Health and Senior Services) checked
- HCBS Manual 3.25 Personal Care Assistance, State Plan (Consumer-Directed Service Model) (Missouri Department of Health and Senior Services, revised January 2026) checked
- HCBS Manual 3.50 Respite Care (Aged and Disabled Waiver) (Missouri Department of Health and Senior Services, revised July 2026) checked
- HCBS Manual 3.60 Structured Family Caregiving Waiver (Missouri Department of Health and Senior Services, revised March 2025) checked
- Missouri Caregiver Program (Missouri Department of Health and Senior Services) checked
- Missouri HCBS Waiver Finder (Missouri Department of Social Services) checked