Payroll
We pay your chosen caregiver accurately and on time, every pay period.
High pay for the care you already provide.
If you already help a parent, relative, friend, or neighbor, Missouri’s Consumer Directed Services program may pay you for that care, at no cost to your family. ProVcare Home Care handles the paperwork.
Consumer Directed Services (CDS) is a Missouri Medicaid (MO HealthNet) program that keeps care at home, provided by someone the family already knows and trusts, instead of a stranger from an agency. ProVcare Home Care is the fiscal intermediary: we help the family hire their caregiver, then take care of the payroll, training, and paperwork.


If you already help a parent, another relative, a friend, or a neighbor with everyday life, Consumer Directed Services may let you be paid for that care. You keep doing what you already do, and ProVcare Home Care makes it official and handles the rest.
High pay for the care you already provide.
Four steps from your first call to care at home, and we’re honest about the one part we don’t control.
This step is run by the state, not ProVcare Home Care, and usually takes about 2-4 weeks.
As your family’s CDS fiscal intermediary, we take care of the administrative side so you can focus on care, not filing.
If you have MO HealthNet, you don’t have to accept a stranger from an agency. With Consumer Directed Services you can choose someone you already trust to be your paid caregiver, whether a relative, a friend, or a neighbor, and stay in the home you love.

Families mix these up all the time. Here’s the plain-language difference, and it matters for CDS.
This is the program that funds Consumer Directed Services. If the person who needs care has MO HealthNet, Missouri’s Medicaid program, the family may be eligible for CDS.
Can qualify for CDS
Medicare is a separate, federal program. On its own, Medicare does not cover the CDS program, so having Medicare alone is not enough to qualify.
Not enough on its own
Not sure which one your family has? That’s completely okay. Choose “I’m not sure” on the eligibility form and we’ll help you find out.
Consumer Directed Services through ProVcare Home Care is currently available across the Kansas City metro, the Springfield area, and the Missouri counties listed below. If your family is outside this area, we may not be able to take the case right now.
ProVcare Home Care is a Missouri-licensed Consumer Directed Services fiscal intermediary based in Clinton, Missouri. We were founded in 2024 and are led by a CEO with 17+ years of experience in home care.
Our job is to make CDS simpler for Missouri families. As your family’s fiscal intermediary, we manage payroll, background checks, Electronic Visit Verification, taxes, and state reporting, so care stays in the family, and the paperwork stays with us.

Plain answers about how Consumer Directed Services works in Missouri.
If you already care for someone you love, take the first step toward getting paid for it. It’s free to check, and we’ll walk you through every step.
Need care yourself? The same team can help you choose your own caregiver and stay in your home.
Visit or write to us
216 S Washington Street, Clinton, MO 64735
Call us
816-656-7000, option 1Local Missouri team
Friendly, no-pressure help