SUPPORT BROKER SERVICES PROVIDER IN MISSOURI
- Fatumata Kaba
- Aug 7
- 3 min read
GUIDING INDIVIDUALS THROUGH SELF-DIRECTED CARE WITH PERSONALIZED PLANNING AND RESOURCE COORDINATION
Support Broker Services in Missouri assist individuals with disabilities and their families in managing self-directed care. These services focus on providing guidance, coordination, and assistance with service planning, budgeting, and navigating Medicaid waiver programs. Support Broker 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 support broker 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. SUPPORT BROKER SERVICE OVERVIEW
Support Broker Services help individuals and their families make informed decisions about self-directed care, develop person-centered plans, and manage service budgets. Services are customized according to the Individual Service Plan (ISP) or Person-Centered Plan (PCP) and may include:
Assistance with developing self-directed care plans
Budget management and financial planning for service utilization
Navigating Medicaid waiver options and service coordination
Advocacy and support for individual needs and preferences
Ongoing monitoring and adjustment of service plans
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 certification as a Support Broker if required
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 support broker provider requirements
Step 2: Application Submission
Submit business registration, certification, liability insurance, and service descriptions
Step 3: License Verification
Ensure compliance with state requirements for support broker services
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
Support Broker Certification (if applicable)
Liability insurance certificate
Policy & procedure manual including:
Client intake and planning protocols
Budget management and service coordination procedures
Documentation of interactions and client preferences
Staff training logs and supervision records
6. STAFFING REQUIREMENTS
Role: Support Broker Program Manager
Requirements: Experience in case management, self-directed care, or disability services
Role: Support Broker Specialist
Requirements:
High school diploma or equivalent
Training in self-directed care planning
Background check and TB clearance
Training Requirements:
Person-centered planning and self-direction principles
Budget management and financial accountability
Client rights, privacy, and advocacy
Documentation and client interaction best practices
7. MEDICAID WAIVER SERVICES
Support Broker Services in Missouri are available through:
Aged and Disabled Waiver (ADW)
Independent Living Waiver
Medically Fragile Adult Waiver
Approved providers may deliver:
Assistance with developing and managing self-directed care plans
Budget planning and utilization tracking
Coordination with Medicaid waiver services and community resources
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: Client Intake and Service 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 SUPPORT BROKER SERVICES PROVIDER
We support agencies and entrepreneurs in launching compliant Support Broker Services across Missouri under the HCBS Waiver models.
Scope of Work:
Business registration and licensing assistance
Medicaid provider enrollment
Policy & procedure manual for support broker operations
Templates for client care plans and budget management logs
Website, domain, and email setup
Staff credentialing and training documentation
Client intake packet and service planning forms
Risk management and compliance protocols
Referral networking with healthcare providers and community organizations
Our Client Portal offers a wealth of resources that you can explore related to various programs and state requirements.
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