Consumer Directed Services (CDS) Consumer Information
	Access II offers consumer controlled Consumer Directed Services (CDS).  If you are a person with a physical disability, who requires assistance with daily tasks in order to live in your home, you may qualify for these services.  Consumer control means you choose.  You are the employer.  You recruit, hire, train, and manage your own attendant.  You set your attendants' schedules and direct them to do the tasks that meet your needs.
Priorities For Consumer Directed Services (CDS) Program
	1.    Person that is Medicaid eligible 2.    Person at least eighteen (18) years of age 3.    Person able to self-direct his or her own care 4.    Person having a physical disability that limits one or more functions of daily living 5. A person capable of living independently with Consumer Directed Services 6. A person who requires assistance to remain independent in their community and may be in jeopardy of going into an institutional setting 7. A person residing in the following counties: Caldwell, Carroll, Daviess, Grundy, Harrison, Livingston, Mercer and Ray
How The CDS Consumer Services Program Works
	A.  Each consumer starts with a request for Consumer Directed Service hours: CDS/ILS (Independent Living Specialist) gathers personal care, financial, and medical information. B. Each consumer starts on the waiting list. C. The CDS Program can provide Personal Attendant Services to individuals with physical disabilities. Hiring an individual(s) to perform routine tasks of daily living and other tasks the individual(s) are unable to perform alone, allows this person to live independently. Daily living activities can include dressing, undressing, bathing, grooming, housekeeping, meal preparation, shopping, transportation, etc. The CDS Program is a program that allows the individual(s) to direct his or her own care which means the individual(s) choose, recruit, hire, train, and manage their own attendant. The individual is the Employer. D. Access II – ILC, Inc, a Consumer Directed Services provider, serves individual with physical disabilities. Services are individualized and must be based on met and unmet needs without supplanting existing supports. Unmet Needs are those routine tasks & activities of daily living as allowable by Medicaid that are not adequately met by current support systems without causing undue hardships to the consumer and/or caregiver. Undue Hardship is the result of a significantly difficult circumstance experienced by the caregiver who is currently meeting the needs of the person with a disability that creates a situation of burden, risk or harm to the caregiver or consumer. Undue hardship includes but is not limited to the following: Loss of Income, Overall Disintegration of the Family, Abuse & Neglect, Misuse of Child Labor, Inadequacy of Training, Physically Contradicted. E. Consumer Directed Services may include assistance with personal care, toileting, health, housekeeping, meals and transportation. The Consumer Directed Services Program is consumer directed which means: v Direct your own care v Hire and train your own personal attendant (even a friend or family member other than your spouse) v Receive services on your schedule, from someone you trust v Receive support and training from Access II staff Consumer mails in time sheets with any new attendants information with photocopy of Drivers License and Social Security card (one time only).
	1.  36.75 hours per week to live independently, EXCEPT CHILD AND PET CARE. 2.  Use as many attendants over 18 years old as necessary, EXCEPT A SPOUSE. 3.  $7.50 per hour for attendants and paid every two weeks. Taxes are taken out before paycheck, no benefits, and no insurance. 4.  Consumer becomes an employer with an Employer ID number. 5.  CDS/Independent Living Specialist (ILS) will provide consumer training on any of the following scheduling, interviews, hiring, training (checklists and tasks), employee correction and employee dismissal. 6.  CDS/ILS will provide attendant training, upon request, on any of the following: personal care on hygiene, disability awareness, back-up care, emergencies. 7.  Consumer receives a CDS reference-training manual. 8.  Consumer schedules, interviews, hires, trains - (checklists and tasks), gives correction, and if necessary, dismisses employees.
What Are Other Options
	1.  Department of Health & Sr. Services - up to $2430 to pay for attendant care, spend down okay. 2.  Medicare for home bound individuals. 3.  VA pays up to $250 a month for qualified Veterans. Link to MO Guide to Home and Community Based Services Return to the top of the page Home