Consumer Directed Services in St. Charles, Missouri

For St. Charles County, Communicare Elite administers MO HealthNet Consumer Directed Services. The attendant is hired and directed by you — anyone except your spouse — while we handle payroll, program paperwork and Medicaid billing.

Why home care matters in St. Charles

St. Charles is one of the oldest towns in Missouri and one of its fastest-aging suburbs at the same time. The historic district near Main Street has houses that predate indoor plumbing, while the subdivisions spreading west were built for young families in the 1980s and 90s whose owners are now retiring in them.

Crossing the Missouri River is the local wrinkle worth naming. Attendants coming from St. Louis County have to deal with the Blanchette or Discovery bridges, and I-70 through this stretch is genuinely unpredictable at rush hour. For a service that depends on someone arriving at a set time every morning, that argues strongly for hiring within St. Charles County. SSM Health St. Joseph Hospital is right here, which keeps most medical trips short.

How CDS works for St. Charles residents

MO HealthNet eligibility, an in-home assessment booked through the state on 866-835-3505, an authorized plan — then you choose who administers it. Step by step.

What your attendant can be paid for

The tasks your attendant may be paid for come from your authorized plan, not from a standard menu. See what is covered.

Paying a family member in St. Charles

St. Charles County families frequently already share the caregiving. If the carer is not the consumer’s spouse, it can be paid. The process.

Distance from our office

Communicare Elite is at 4477 Woodson Rd, Suite 106, St. Louis, MO 63134, minutes from Lambert International Airport — roughly about 20 minutes from St. Charles. Most business is handled by phone, but you are welcome at the office; call ahead so someone is expecting you.

Questions from St. Charles families

Is St. Charles County in your service area?

Yes — all of it, including St. Charles, St. Peters, O’Fallon, Wentzville and the smaller communities between them.

Should my attendant live on this side of the river?

Not required, but strongly worth considering. Bridge traffic is the most common reason a St. Charles attendant arrangement becomes unreliable.

Can my attendant take me to St. Joseph Hospital?

Transportation to medical appointments is an authorizable task. Whether it is in your plan depends on your assessment.

What if I am unhappy with how something is handled?

There is a formal grievance and appeal route, and it does not affect your program eligibility. Grievances and appeals.

Do attendants get training?

Yes — orientation and training are provided before work begins. What training covers.

Nearby communities we also serve

St. Peters · O’Fallon · Bridgeton · Maryland Heights — or see the whole service area.