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.

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

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