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Home and Community-Based Services
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Home and Community Based Services

Home and community-based services (HCBS) provide opportunities for Medicaid beneficiaries to receive services in their own home or community. These programs serve a variety of targeted populations groups, such as people with mental illnesses, intellectual disabilities, and/or physical disabilities. 


 In Missouri, the following options exist within home and community based programs:

  • Adult Day Programs
  • Assistive Devices, i.e. adapted eating utensils or communication devices
  • Case management which is someone to coordinate the delivery of services to you
  • Changes to the home (for example widening a doorway for wheelchair accessibility)
  • counseling
  • Employment support services
  • Home delivered meals
  • Homemaker chore services
  • In-home medical care such as physical therapy, personal care, and skilled nursing visits
  • Personal Care Attendants
  • Respite care
  • Transportation to and from Medicaid facilities to receive services and/or medical care

The program that you qualify for will depend upon your needs and resources

For more information about HCBS Click on the link below.

Missouri's Guide to Home and Community Based Services

Adult Day Care

Adult Day Care Programs provide a structured program of therapeutic, rehabilitative, social and leisure activities in a monitored setting. The programs offer supportive services to the participant, as well as to the family, by providing care and supervision in a protective environment during the day. An adult day care program is a group program designed to provide care and supervision to meet the needs of five (5) or more functionally impaired adults for periods of less than twenty-four (24) hours but more than two (2) hours per day in a place other than the adult's own home.

An Adult Day Health Care is a medical model program certified to provide Medicaid reimbursed services to Medicaid eligible participants as required by the MO HealthNet Division. An Adult Day Care program provides social activities and is not required to provide medical services. As a social program, an Adult Day Care participant is not eligible for Medicaid reimbursement.

 List of Adult Day Care Providers in Missouri


Hospice is a special way of caring for people who are terminally ill, and for their families. This care includes physical care and counseling. Hospice care is given by a public agency or private company approved by Medicare. It is for all age groups, including children, adults and the elderly during their final stages of life. The goal of hospice is to care for you and your family and to help you make the most of the last months of life by giving comfort and relief from pain.

 Click here for more information about hospice in Missouri





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