What Is CDS?
Missouri’s Consumer Directed Services (CDS) program lets you select, train, and hire someone you know to provide care and be paid by Medicaid as a personal care attendant.
You can choose an eligible friend, neighbor, or family member to be your personal care attendant. If you don’t have someone in mind already, MODANI can help you find a caregiver in your community.
MODANI assists you through the whole process, from determining eligibility and enrolling, to paying your personal care attendant and providing support—all at no cost to you.

How We Work
You’re required to work with a provider like MODANI to participate in the CDS program.
We simplify the process of participating.
Here’s what we do
- Determine whether you’re eligible for CDS
- Help you enroll and submit the proper documents to MO HealthNet
- The state arranges an in-home assessment to create a customized care plan and determine the total monthly hours allowed
- Help you find a caregiver if you don’t already have one in mind
- Set up state and federal employer agent documents
- Pay your personal care attendant on a daily or weekly basis
- Submit your quarterly and annual federal and state tax filings
Here’s what you’ll be able to do
- Choose and change your personal care attendant
- Choose the days and times you need help
- Train your personal care attendant
- Supervise your personal care attendant
- Enjoy living in your home with dignity
Frequently Asked Questions
Here are the answers to some of the questions we hear a lot. If you can’t find the answer to your question here, please get in touch with us!
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What is CDS?
Consumer Directed Services (CDS) is a Missouri program that allows people who need personal care at home to select, train, and hire someone they know to provide care and be paid by Medicaid as a personal care attendant. -
What does MODANI do?
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Who is eligible for CDS?
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Who can be paid to be my caregiver through CDS?
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What if I don’t already know someone who can be my caregiver?
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How much will MODANI’s CDS services cost me?
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Do CDS caregivers need professional training?
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How do I train my personal care attendant?
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How do I supervise my personal care attendant?
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What if I want to change caregivers or stop receiving care?