CDS service area · St. Louis

Where Communicare Elite provides Consumer Directed Services

We serve St. Louis City, St. Louis County, and Missouri communities within roughly 40 miles of our Woodson Road office. That radius covers most of the Missouri side of the metropolitan area, including all of St. Charles County, the populated half of Jefferson County, and eastern Franklin and Lincoln counties.

Which communities do you serve?

Every community below has its own page with local detail. If you do not see your town, call us — if you are in Missouri and within about 40 miles of us, we can almost certainly help.

Does my address qualify?

Two things decide it, and neither depends on your zip code alone:

1. Are you eligible for the program? You must be a MO HealthNet participant, 18 or older, have a physical disability, be able to direct your own care, and be assessed at a nursing facility level of care. Full eligibility rules.
2. Can we reach you? Our attendants and staff need to be able to serve your home. Within about 40 miles of St. Louis, in Missouri, the answer is nearly always yes.

Why is the service area limited to about 40 miles?

It is not an arbitrary line drawn around an office. Consumer Directed Services depends on someone physically arriving at a home, often every day, frequently early in the morning. A service area drawn wider than the staff and attendants can reliably cover produces exactly one outcome: people who were promised help and do not get it on the days it snows.

The practical consequence is worth planning around. Because you hire your attendant rather than waiting for an agency to staff your case, the distance that matters most is not between you and us — it is between you and the person you want to employ. An attendant who lives fifteen minutes away is materially more reliable over a year than one who lives an hour away, however well-intentioned.

Which Missouri counties do you cover?

County	Coverage
St. Louis City	All neighborhoods
St. Louis County	All 88 municipalities and unincorporated areas
St. Charles County	St. Charles, St. Peters, O’Fallon, Wentzville, Lake Saint Louis, Dardenne Prairie and surrounding communities
Jefferson County	The northern and central county — Arnold, Festus, Crystal City, Herculaneum and nearby
Franklin and Lincoln counties	Eastern portions within roughly 40 miles — call to check your address

Why we do not cross into Illinois

People are often surprised by this, because the Illinois side of the metro is closer to our office than Wentzville is. The reason is not geography — it is that Consumer Directed Services is a Missouri Medicaid program. Eligibility is determined by Missouri agencies, the care plan is authorized by the Missouri Department of Health and Senior Services, and the services are paid for by MO HealthNet.

An Illinois resident is not eligible for MO HealthNet, so there is no Missouri program for a Missouri vendor to administer on their behalf. Illinois operates its own consumer-directed programs through its own providers. If you live in Illinois, that is where to start — and we will say so plainly rather than taking your details and wasting your time.

Frequently asked questions

Is there a CDS provider near me in St. Louis?

Yes, if you live in Missouri within about 40 miles of our Woodson Road office. Communicare Elite serves St. Louis City, all of St. Louis County, all of St. Charles County, the populated half of Jefferson County, and eastern Franklin and Lincoln counties. If you do not see your town listed, call (314) 809-6655 and we will check your address.

Can I get Missouri CDS if I live in Illinois?

No. Consumer Directed Services is a Missouri Medicaid program. Missouri agencies decide eligibility, the Missouri Department of Health and Senior Services authorizes the care plan, and MO HealthNet pays for the services. An Illinois resident is not eligible for MO HealthNet, even a few minutes across the river. Illinois runs its own consumer-directed programs through its own providers.

Does my attendant need to live near me?

It helps a great deal. In CDS you hire your own attendant, so the distance that matters most is between you and the person you employ, not between you and our office. The work often means arriving every day, frequently early in the morning, so an attendant who lives fifteen minutes away is more reliable over a year than one who lives an hour away.