1. Program Definition and Services Provided
Homemaker services in Missouri are part of the Home and Community-Based Services (HCBS) program, specifically under the Medicaid Aged and Disabled Waiver (ADW). These services provide general household tasks to support individuals who would otherwise require nursing facility care. Tasks include cleaning, laundry, meal preparation, and other domestic duties that help maintain a safe and healthy living environment.
2. Regulations
Current regulations governing homemaker services in Missouri include:
- 19 CSR 15-7.021: In-Home Service Standards, which outline requirements for providers of in-home services, including homemakers.
- 13 CSR 70-91.010: General standards for in-home services, applicable to homemaker care.
3. Licensing or Certification
To operate as a homemaker service provider in Missouri, you must be enrolled as an ADW provider with the Missouri Medicaid Audit and Compliance Unit. There is no specific license for homemakers, but providers must meet state standards for in-home services.
4. Responsible State Agency
The Missouri Department of Health and Senior Services, Division of Senior and Disability Services, and the Missouri Medicaid Audit and Compliance Unit are responsible for overseeing homemaker services.
5. Application Process
The application process involves submitting a proposal to become a provider under the ADW program. This typically requires establishing a contract with the Missouri Medicaid Audit and Compliance Unit.
6. Required Documentation
- Contract with State Agencies: Agreement with the Missouri Medicaid Audit and Compliance Unit.
- Proof of Business Registration: If applicable.
- Insurance and Liability Coverage: Proof of adequate insurance.
- Staff Qualifications: Documentation of staff experience in homemaking or related fields.
- Background Checks: Required for staff providing direct care services.
7. Timeline for Approval
The approval process typically involves several weeks to months, depending on the completeness of the application and the speed of inspections.
8. Pre-Application Process
There is no formal pre-application process, but applicants should ensure they meet all eligibility criteria and have necessary documents ready.
9. Pre-Application Training
No specific pre-application training is required, but staff must be knowledgeable about homemaking techniques and safety standards. Orientation training may be required for new employees.
10. Additional Notes
- Homemaker services must be reasonable and necessary according to the participant's condition and functional capacity.
- Providers must ensure that individuals providing homemaker services are not immediate family members of the participants.
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