Consumer Directed Services (CDS)
Missouri Medicaid Consumer Directed Services that allow you to choose your caregiver and direct your schedule while we handle payroll and compliance.
Missouri Consumer Directed Services (CDS) is a Medicaid-funded program that allows eligible individuals to self-direct their personal care services. With Heritage CDS, you stay in control—choosing your caregiver, setting your schedule, and directing daily care needs—while we manage the administrative responsibilities required by the program.
What you can do with CDS:
Choose and hire a caregiver you trust (including friends or family, where allowed)
Set a schedule that fits your life
Direct care tasks based on your needs
Remain independent at home
What Heritage CDS handles:
Payroll processing and tax withholding
Medicaid billing support and program compliance
Timekeeping systems and documentation
Guidance throughout enrollment and ongoing services
Who Can Be an Attendant?
Family member or friend (excluding spouse or legal guardian)
Chosen directly by the consumer
Must meet Missouri CDS requirements
Heritage CDS has served Missouri families since 2015, with a focus on clarity, compliance, and consumer control.






