HCBS are available for adults ages eighteen (18) years of age and over who have Medicaid or are potentially Medicaid eligible and in need of assistance in the home. Home and Community-Based Services are provided through the Department’s Division of Senior and Disability Services (DSDS). The HCBS program provides supportive services to individuals in their homes or least restrictive environments who would otherwise need nursing facility care. HCBS can include personal care tasks, cleaning support, meal preparation, respite, etc. Approximately 68,000 individuals are authorized to receive HCBS through DSDS. Through a contract with Missouri Medicaid Audit and Compliance, DSDS partners with existing service providers to assist with completing the required annual re-evaluation of eligibility and service need. In addition to DSDS assessment staff, contracted provider reassessors complete an annual assessment using the InterRAI Home Care tool to determine continued program eligibility and current care plan needs.
