ADULT COMPANION SERVICES PROVIDER IN MISSOURI

PROVIDING SOCIAL SUPPORT AND COMPANIONSHIP FOR ADULTS WITH DISABILITIES OR CHRONIC CONDITIONS

Adult Companion Services in Missouri offer non-medical support to individuals who need assistance with social engagement, supervision, and daily living activities. These services are particularly beneficial for adults with disabilities, chronic illnesses, or age-related challenges who may experience social isolation or require support with routine tasks. Adult Companion Services are available under Missouri’s Home and Community-Based Services (HCBS) Waivers.

1. GOVERNING AGENCIES

• Agency: Missouri Department of Health and Senior Services (DHSS)

  • Role: Administers Medicaid and HCBS Waiver programs, including adult companion services

• Agency: Missouri Department of Social Services (DSS)

  • Role: Oversees Medicaid provider enrollment and service authorization

• Agency: Centers for Medicare & Medicaid Services (CMS)

  • Role: Provides federal oversight and ensures waiver compliance

2. ADULT COMPANION SERVICE OVERVIEW

Adult Companion Services focus on providing non-medical social support and supervision. Services are tailored according to the Individual Service Plan (ISP) or Person-Centered Plan (PCP) and may include:

• Social interaction and companionship

• Accompaniment to medical appointments or community activities

• Assistance with light household tasks

• Meal preparation and basic assistance

• Supervision to ensure safety and well-being

• Engaging in recreational or social activities

3. LICENSING & PROVIDER APPROVAL REQUIREMENTS

Prerequisites:

• Register your business with the Missouri Secretary of State

• Obtain EIN from the IRS and NPI (Type 2)

• Enroll as a Medicaid provider with the Missouri Department of Social Services

• Obtain a Companion Care License from the Missouri Department of Health and Senior Services

• Maintain liability insurance and documentation of staff qualifications

4. MEDICAID PROVIDER ENROLLMENT PROCESS

Step 1: Pre-Application Contact

• Contact the Missouri Department of Social Services for provider requirements related to adult companion services

Step 2: Application Submission

• Submit business registration, companion care license, liability insurance, and service descriptions

Step 3: License Verification

• Obtain and verify the Companion Care License

Step 4: Approval and Medicaid Number Assignment

• Once approved, receive a Medicaid provider number and authorization to deliver services

5. REQUIRED DOCUMENTATION

• Articles of Incorporation or Business Name Registration

• IRS EIN Letter

• NPI confirmation

• Companion Care License

• Liability insurance certificate

• Policy & procedure manual including:

  • Client intake and assessment protocols

  • Social engagement and supervision procedures

  • Safety and risk management practices

  • Documentation of visits and client interactions

  • Staff training and supervision logs

6. STAFFING REQUIREMENTS

Role: Companion Care Program Manager

• Requirements: Experience in social services, caregiving, or community support

Role: Companion Care Worker

• Requirements:

  • High school diploma or equivalent

  • CPR/First Aid certification

  • Background check and TB clearance

Training Requirements:

• Communication and interpersonal skills training

• Safety and supervision techniques

• Client rights and confidentiality

• Emergency response and first aid

7. MEDICAID WAIVER SERVICES

Adult Companion Services in Missouri are available through:

• Aged and Disabled Waiver (ADW)

• Independent Living Waiver

• Medically Fragile Adult Waiver

Approved providers may deliver:

• Social support and companionship

• Safety supervision during daily activities

• Community engagement and social participation

8. TIMELINE TO LAUNCH

Phase: Business Formation

• Timeline: 1–2 weeks

Phase: Medicaid Provider Enrollment

• Timeline: 60–90 days

Phase: Staff Hiring and Training

• Timeline: 30–45 days

Phase: Facility and Program Setup

• Timeline: 2–4 weeks

9. CONTACT INFORMATION

Missouri Department of Health and Senior Services (DHSS)

• Website: https://health.mo.gov

Missouri Department of Social Services (DSS)

• Website: https://mydss.mo.gov

WAIVER CONSULTING GROUP'S START-UP ASSISTANCE SERVICE — MISSOURI ADULT COMPANION SERVICES PROVIDER

We support agencies and entrepreneurs in launching compliant Adult Companion Services across Missouri under the HCBS Waiver models.

Scope of Work:

• Business registration and licensing assistance

• Medicaid provider enrollment

• Policy & procedure manual for companion care operations

• Templates for client interaction logs and safety checklists

• Website, domain, and email setup

• Staff credentialing and training documentation

• Client intake packet and service planning forms

• Risk management and safety protocols

• Referral networking with healthcare providers and community organizations

Continue To Our Client Portal To Get Started

Our Client Portal offers a wealth of resources that you can explore related to various programs and state requirements.