Consumer Directed Services (CDS) is a service through Medicaid whereby individuals with disabilities; are able to live independently.


Tasks include:  Bathing/Showering; Toileting; Obtaining/Organizing Medication; Meal Preparation/Cleanup; Housekeeping/Laundry; Essential Transportation.

The CDS program is a Consumer (patient) managed program, which means that the person with a disability receiving services the “Consumer” is the employer of the attendant. The consumer participants are responsible for locating, hiring, setting work schedules and managing their own attendants.


A friend or family member may be hired as an attendant, with the exception of a spouse or anyone under the age of 18.

Helpful Hands In Home Care, Inc. provides training on hiring and managing attendants for CDS participants in St. Louis City and County areas.

The Consumer Direct Services patient must:

  • Be receiving or eligible to receive Medicaid.

  • At least 18 years old.

  • Have a physical disability.

  • Able to self-direct their services.

  • Able and willing to recruit, hire and manage attendants.

  • Seeking or living in an independent environment.


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