HOMEMAKER SERVICES PROVIDER IN MISSOURI

SUPPORTING INDEPENDENT LIVING BY ASSISTING WITH HOUSEHOLD TASKS AND DAILY ROUTINES

Homemaker Services in Missouri help individuals who need assistance with essential household tasks to maintain a clean, safe, and comfortable living environment. These services are particularly beneficial for individuals with disabilities, the elderly, or those recovering from illness. Homemaker 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 homemaker 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. HOMEMAKER SERVICE OVERVIEW

Homemaker Services focus on assisting individuals with basic household tasks to ensure a safe and well-maintained living space. Services are tailored according to the Individual Service Plan (ISP) or Person-Centered Plan (PCP) and may include:

• Light housekeeping (e.g., vacuuming, dusting, mopping)

• Laundry and linen changes

• Meal preparation and basic cooking assistance

• Grocery shopping and errands

• Organizing personal spaces and maintaining cleanliness

• Assistance with planning and budgeting for household needs

3. LICENSING & PROVIDER APPROVAL REQUIREMENTS

Prerequisites:

• Register 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 Homemaker Services 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 to understand the homemaker service provider requirements

Step 2: Application Submission

• Submit business registration, liability insurance, and service descriptions

Step 3: License Verification

• Obtain and verify the Homemaker Services License

Step 4: Approval and Medicaid Number Assignment

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

5. REQUIRED DOCUMENTATION

• Articles of Incorporation or Business Name Registration

• IRS EIN Letter

• NPI confirmation

• Homemaker Services License

• Liability insurance certificate

• Policy & procedure manual including:

  • Client intake and assessment protocols

  • Safety and hygiene procedures

  • Cleaning and household maintenance guidelines

  • Documentation of services and client feedback logs

  • Staff training and supervision records

6. STAFFING REQUIREMENTS

Role: Homemaker Program Manager

• Requirements: Experience in home support services or social services management

Role: Homemaker / Household Support Aide

• Requirements:

  • High school diploma or equivalent

  • Background check and TB clearance

  • Basic training in household safety and cleaning practices

Training Requirements:

• Safety and infection control

• Household management and task planning

• Client communication and service documentation

• Emergency response and risk management

7. MEDICAID WAIVER SERVICES

Homemaker Services in Missouri are available through:

• Aged and Disabled Waiver (ADW)

• Independent Living Waiver

• Medically Fragile Adult Waiver

Approved providers may deliver:

• General housekeeping and cleaning support

• Meal preparation and grocery assistance

• Basic home organization and safety maintenance

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 Equipment 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 HOMEMAKER SERVICES PROVIDER

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

Scope of Work:

• Business registration and licensing assistance

• Medicaid provider enrollment

• Policy & procedure manual for homemaker service operations

• Templates for cleaning logs and client feedback forms

• Website, domain, and email setup

• Staff credentialing and training documentation

• Client intake packet and service plans

• Risk management and safety protocols

• Referral networking with community agencies and healthcare providers

Continue To Our Client Portal To Get Started

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