Phone: 573-874-1646


In the Consumer Directed Services (CDS) program, YOU direct YOUR own care.  YOU are the employer and the attendant of YOUR choosing is YOUR employee.  SIL has offered personal care services since 1984. Our number one goal is helping YOU maintain YOUR independence.  Your Choice Matters.
Application Process: Individuals interested in receiving Consumer Directed Services (CDS) must have an assessment completed by the Division of Senior and Disability Services (DSDS) to determine if YOU are eligible and if so, what type of service you need.  The assessment is free and can be scheduled by calling (866) 835-3505, a toll free number and request to be assessed for CDS by DSDS staff.  Have your Medicaid number ready.
To qualify for the CDS program all the following must apply to you:
  1. You have a condition that results in a need for assistance with activities of daily living.
  2. You are a current Medicaid recipient.
  3. You are at least 18 years old.
  4. You can direct your own care.
  5. You meet the level of care through a needs assessment with DSDS.
SIL will serve as the Fiscal Agent.  Our staff will assist you with the completion all the paperwork and handle all tax withholdings and payments to the IRS, Missouri DOR, Employment Security, and Social Security.  The CDS program is regulated by Missouri Department of Heath and Senior Services.
Contact Us:
Phone: 800-766-1968 or 573-874-1646