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SUPPORT BROKER SERVICES PROVIDER IN MISSOURI

  • Writer: Fatumata Kaba
    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)

Missouri Department of Social Services (DSS)

 

MISSOURI SUPPORT BROKER SERVICES PROVIDER

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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