Making St. Louis Accessible
for Over 40 Years

Home Care & Attendant Services

Home Care & Attendant Services

Paraquad assists people living with disabilities to live independently and in housing of their personal choice. We have two programs to assist with daily living tasks, depending on an individual's needs and preferences.

Emma in her homeConsumer Directed Services (CDS)

Consumer Directed Services (CDS) is a Medicaid based program that provides personal care attendant (PCA) services to individuals with disabilities, enabling them to live independently.

Participants in the CDS program are trained to hire their own attendants to assist them with daily tasks. The tasks may include bathing/showering, toileting, obtaining medication, meal preparation and cleanup, housekeeping/laundry and essential transportation.

The CDS Program is designed to assist individuals with disabilities to receive the attendant services they need to live safely in a home setting of their choice instead of living in a more restrictive institutional environment.

Paraquad's CDS program is consumer-controlled. One main component of consumer-control in the CDS program is that the individual who receives CDS is the employer of the attendant. CDS Participants are responsible for locating, hiring, setting work schedules and managing their own attendants. A qualified friend or family member may be hired as an attendant, with the exception of a spouse or anyone under the age of 18.

To qualify for consumer controlled CDS services, a person must be:

  • Medicaid eligible (MO HealthNet eligible);
  • 18 years of age or older;
  • Able to direct their own care;
  • Physically disabled; 
  • Capable of living independently with the services of CDS;
  • Require at least a nursing facility level of care.

CDS: Frequently Asked Questions

Carl in his homeIn-Home Services (IHS)

In-Home Services assists eligible individuals to remain in their own homes while receiving home and community-based aide services to assist with activities of daily living. This allows for individuals with disabilities and seniors to remain independent in their own home. Qualified and trained aides can assist with the following activities:

  • Personal Care
  • Homemaker Chores
  • Respite Care
  • Advanced Personal Care
  • Nurse Visits
  • Laundry
  • Essential Errands

To be eligible for this program an individual must reside in St. Louis City or St. Louis County. The individual must have Medicaid, private insurance with long term care options, VA funding through Veterans Home Care, or be capable of paying out of pocket. 

Individuals on Medicaid will need to meet Missouri Division of Senior and Disability Services (DSDS) requirements. DSDS will complete an assessment to determine the individual’s needs and forward a personalized care plan to Paraquad. Once a care plan is received, Paraquad will assign an appropriate aide and begin services within 7 days. All aides are screened by the Missouri State Family Care Safety Registry.  Aides are CPR/First Aid certified and are insured and bonded. Paraquad offers continued training for aides to ensure quality in-home services.

For more information e-mail us at or call 314/289-4200 (voice).