What is Consumer Directed Services (CDS)?
Consumer Directed Services (CDS) Program is a Medicaid-based program helps people with significant disabilities obtain assistance with personal care and daily activities to live independently and maintain their independence by allowing them to hire a Personal Care Attendant of their choosing (their PCA).
In this program, the person with the disability is referred to as a Consumer rather than a “client” or a “patient”. A Personal Care Attendant (PCA) does not “take care of” a Consumer, rather they assist the Consumer to live independently.
A personal care attendant assists you with things that you are physically unable to do yourself. A PCA also helps you do things that would take you an exceptionally long time to do on your own. The help that a PCA provides enables you to live more independently and pursue activities such as school or work. The duties of the PCA vary, depending on your need for physical assistance with activities of daily living, the nature of your disability, your living arrangement, and your daily schedule. Personal care attendant assistance could include meal preparation, cleaning, person hygiene or other tasks determined by each consumer’s Plan of Care (POC).
With the assistance of WILS staff CDS program participants are trained to hire Personal Care Attendants (PCA). As a CDS program Consumer, you are the employer and are responsible for hiring, training, scheduling (and if necessary) firing your PCA(s).
A Consumer Directed Services program participant must:
- Be eligible for MO HealthNet (Medicaid).
- Be 18 years of age or older.
- Be disabled.
- Be able to self direct his or her own care according to their needs.
- Hire, train, supervise and terminate the Personal Care Attendant (PCA) of their choice.
- Be capable of receiving training on Personal Care Attendant (PCA) management from WILS staff.
What is a Personal Care Attendant?
A Personal Care Attendant (PCA), may also be known or referred to as caregivers, home health or personal care aides. A PCA gives assistance to people who are physically disabled, chronically ill, cognitively challenged, elderly and/or fragile, by assisting the individual with personal care needs in the individual’s home.
The Personal Care Attendant (PCA) is hired, trained, supervised, and if necessary fired by the Consumer Directed Services Program participant (CDS Participant is referred to as the Consumer).
Personal Care Attendant Responsibilities
The PCA will assist consumers with the following needs according to each consumer’s Plan of Care (POC).
- Assist consumer with activities of daily living as needed;
- Assist consumer with grooming;
- Assist consumer with bathing;
- Assist consumer with housekeeping;
- Assist with laundry;
- Assist with meal preparation;
- Assist consumer with essential transportation