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Giving You the power to choose your care giver... 
Call us now to get started 314-455-3399

Consumer Directed Services 

Gateway personal care attendant services program is a Medicaid-based program that enables a person with a disability to live independently in their own home. Program participants are trained to hire their own attendants to assist them with daily tasks. These tasks may include:

  • Bathing/showering

  • Toileting

  • Obtaining medication

  • Meal preparation and cleanup

  • Housekeeping/laundry

  • Essential transportation


Through this program, people with disabilities are able to arrange and receive any attendant services they need to live safely in the home setting of their choice. This allows them to live more independently instead of in a more restrictive institutional setting. Gateway personal care attendant services program is consumer-controlled. This means the individual receiving the services is the attendant’s employer. Participants are responsible for locating, hiring, setting work schedules and managing their 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 this program, 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 help of an attendant

  • Require at least a nursing facility level of care

To learn more, please call us at 314.455.3399 or click here to submit a request for information on services
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