Exclusive Family & Friends Caregiver Program

If you have Missouri Medicaid, you may qualify for the Consumer Directed Services (CDS) Program.
You can hire a friend or family member to care for you at home and Emerest will pay them to work for you!

Empowering patients

Rewarding caregivers


Emerest is Missouri’s Largest & Highest Rated CDS agency

CDS is a free program available to all Medicaid participants. There is no cost to participate. It's easy to get started!

Am I eligible?

Fill out the form to see how fast you can get started

Who is Eligible for Missouri's Leading Medicaid Home Care program?

Am I eligible?

  • Have Medicaid
  • Live in Missouri
  • Need help with day-to day activities

Who can be my caregiver?

  • Friend
  • Family member

*Spouses are not eligible to be caregivers for CDS.

Emerest is available everywhere in Missouri!

We are Missouri's largest CDS Agency and recognized experts in CDS Taxes, Payroll and Medicaid Compliance

Over 1,000 Five-Star Reviews on Google, Facebook and the Better Business Bureau

We love to speak on the phone! Our knowledgeable staff has over 30 years of Consumer Directed Services experience.

We work closely with the IRS, Missouri Department of Revenue and Missouri Division of Unemployment

missouri map

What You Get with Emerest

Problems with your current CDS Agency? We can help resolve the tax problems created by your old agency.

A dedicated Customer Service Team with over 30 years of CDS and Medicaid Experience.

Taxes are filed and paid in full and on time, every time.

100% guaranteed on-time payment to your caregiver each week.

Our Mission

We enable family and friends to care for each other with respect and dignity.

empowering patient

Empowering patients

rewarding caregiver

Rewarding caregivers


Are you looking to Switch your CDS Agency to Emerest?

Switching is a simple process! Your hours will remain the same when switching.


Joining is easy

  • Call us 833-937-2912
  • Sign paperwork We'll send you some documents to sign
  • Confirm Emerest as your CDS provider with the State of Missouri

What Is Consumer Directed Services?

CDS is a Medicaid-funded program that enables disabled or elderly people in Missouri to hire the caregiver of their choice to help with daily activities. This caregiver, or personal care attendant (PCA), can be a friend, a neighbor, or a family member other than a spouse or legal guardian. A PCA can help with daily chores or hygiene activities, including:

  • Food preparation, homemaker activities and medication assistance
  • Personal hygiene activities such as bathing or grooming
  • Mobility assistance, transportation and shopping

This service is administered by the Missouri Division of Health and Senior Services (DHSS), and is available to eligible adults over the age of 18. The goal of this program is to help participants live independently and choose someone they trust to provide them with care. Participants are responsible for hiring and managing their own attendants and partner with a CDS provider, such as Emerest, for payroll, compliance and administrative support.

Give us a call today to see how you can hire your loved one to facilitate the care you need.

caregiver with patient
video about agency

About our CDS Agency

We work together with Missouri's Department of Health and Senior Services (DHSS), Home and Community Based Services Division (HCBS) to provide Consumer Directed Services (CDS) to aged and disabled Medicaid participants throughout the state of Missouri.
If you live in Missouri, have Medicaid and need help with activities of daily living, your friends or family can get paid to care for you.
Call us today at 833-937-2912 and we'll be glad to assist you!

Frequently Asked Questions

    Read More

    What Our Clients Say

    Over 1,000 five-star reviews

    Happy with your service at Emerest Health? Leave us a review on Google.

    Our Main Office in Missouri


    Emerest Health of Missouri Headquarter: 300 Hunter Ave, Suite 120 St. Louis, MO 63124

    Phone: 833-937-2912

    Office Hours: Monday-Thursday, 8:00AM-5:00PM, Friday 8:00AM-4:00PM


    Have a Question?

    Contact us and we will answer your questions or visit our FAQ page