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Program Administration The Missouri Centers for Independent Living, in conjunction with the Missouri Department of Health and Senior
Services, administer the program. The philosophy of the Center for Independent Living is consumer controlled,
community based options that promote independence for persons with physical disabilities.
Definition Some
persons with disabilities require assistance with the activities of daily living to live independently within their communities.
Until 1999, persons
with disabilities had limited options such as dependency upon family members, placement in institutional settings, or paying
for these types of services out-of-pocket.
Missouri Medicaid CDS services are funded with federal and state moneys.
This program allows the redirection of Medicaid dollars for in-home, consumer directed services, eliminating the necessity
of placement in residential facilities due to lack of options.
The Consumer Directed Services Program is a program that allows an individual
to direct his or her own personal assistance services at NO cost to the consumer.
Being on a consumer controlled
personal attendance services program gives the person with a disability control over their own life. To
do this, the person with a disability becomes an employer and hires their personal attendant. The attendant’s
job description can include: housekeeping, laundry, cooking, personal care, and transportation.
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Eligibility
Eligibility requirements for the CDS
Program are as follows:
Missouri Medicaid eligible Physically disabled Mentally capable of making decisions regarding
both your healthcare and your employer responsibilities Over 18 years of age Score at least 21 points
on a needs assessment performed by DHSS
Through Missouri Medicaid Consumer Directed
Services, you can: Direct your own care Hire and train your own attendant Receive
support and training from On My Own, Inc. Receive a comprehensive evaluation and assessment
of your care needs through DHSS.
Compliance with the Civil Rights Act
No person shall, on the grounds of race,
color, national origin, age, disability, religion or sex, be excluded from participation in, be denied the benefits of, or
be subjected to discrimination. If you feel you have been discriminated against on the above grounds,
you may make a complaint in writing to the Department of Social Services, or the United States Department of Health and Senior
Services.
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Your Responsibilities You and DHSS will develop a plan to assist you
with your personal care needs. It is your responsibility to put forth your best effort by participating in the development
of this plan. Upon approval for CDS, On My Own, Inc. will need copies of your Missouri Medicaid card and your Social Security
Card to set you up as an employer. You will need to forward any correspondence from the IRS to On My Own, Inc. so we
can pay all taxes that are due on your behalf. It is important that you follow the guidelines of your plan. Failure
to do so can result in the denial or termination of your services. Your attendant can be anyone who is age 18 or older and
not a spouse. They must pass a background screening. The attendant can be a relative, but not a spouse. You will
be shown how to train your attendant on how to complete your authorized tasks and insure that time sheets are completed daily
and accurately.
Your On My Own,
Inc. Independent Living Specialist (ILS) is required to make at least monthly phone contact and visit you in your
home every three months to insure your plan is meeting your needs and that program rules and regulations are being followed. Your
ILS will train you on the complete list of both On My Own, Inc.'s responsibilities and your responsibilities. Fraud,
abuse and neglect are taken very seriously; these issues will be reported to the proper authorities.
Your Right to Appeal If you feel you were denied the service or provider of your choice, or your
application was not processed promptly, or you disagree with any agency decision concerning your case, you have the right
to appeal this decision. If you wish to request a hearing you may do so by contacting the Department of Health and Senior
Services. Please feel free to contact On My Own, Inc. for more details. If you request a hearing within
ten (10) days of the date of the notice, you have the right to continue any benefits and/or services already being received.
If the agency's decision is upheld, the state has the right to recoup the cost of any services furnished as a result of your
request for continuation of the benefits and/or services. On My Own, Inc. or DHSS can provide further information on your
rights.
CDS Staff:
CDS Director: Sara Nunez
Collins Branch Office Hickory/St. Clair /Cedar County ILS's: Cheryl Kauffman Billie Jo Baker
Nevada Office
Cedar/ Vernon/ Bates County ILS's: John Brock April Dipman
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Call Sara Nunez at 417-667-7007
or 800-362-8852 for more information about Consumer Directed Services (CDS).
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