Missouri

MISSOURI’S SUPPORT NETWORK

• Family Caregiver Support Program

Offers: Adult day, in-home and weekend respite options, capped at 12 to 20 hours per month; other services include assistive technology, care management, supplies, counseling, education and training, emergency response, family consultation and family meetings, home modification/repairs, information and assistance, legal and/or financial consultation, support groups and transportation.

Funded by: National Family Caregiver Support Program under Older Americans Act Title III E and voluntary contributions; administered at the state level by the Missouri Department of Health and Senior Services and locally by area agencies on aging.

Eligibility: No minimum age for caregivers; care receivers must be age 60 or older. Care recipients must have impairment in two or more activities of daily living for respite/supplemental services and a diagnosis of dementia or related disorder and/or require supervision.

• Aged and Disabled Waiver

Offers: Adult day, in-home, and overnight respite options, with no cap on services; other services include homemaker, chore and home-delivered meals.

Funded by: Medicaid home and community-based services waiver and state general funds; administered at the state and local levels by the Missouri Department of Health and Senior Services under the supervision of the State Medicaid Agency.

Eligibility: Caregivers must be at least age 18, and care receivers must be a minimum of age 63; care receivers also must meet a nursing home level of care.

• Grandparent and Other Relative Caregiver Support Programs

Offers: Respite care and other support services designed to address the needs of grandparent and other relative caregivers of children. See www.gu.org/factsheets.asp for details on Missouri programs.

Funded by: Older Americans Act Title III E, state general revenues, and other sources. The Family Caregiver Support Program is administered by the Missouri Department of Health and Senior Services and locally by area agencies on aging.

Eligibility: Grandparent and other relative caregivers must be a minimum of age 60 and caring for a child age 18 or younger to receive services in the Family Caregiver Support Program.

CONSUMER DIRECTION

Consumer direction is a philosophy that accommodates people’s needs and preferences by offering them maximum choice and control over services they use. In Missouri, one program offers consumer-directed options for service delivery.

• The Family Caregiver Support Program offers a voucher or budget for respite and/or supplemental services, direct payments for the purchase of goods or services, a choice of respite providers, and family members may be paid to provide respite services.

LEGISLATION

None related to caregiving.

Sources: National Association of State Units on Aging, e-mail survey of State Family Caregiver Support Program contacts, Washington, D.C., June 2005; National Center on Grandparents Raising Grandchildren at Georgia State University, Research—Fact Sheets, Atlanta, Ga., 2005; Feinberg, Lynn Friss, et al., The State of the States in Family Caregiver Support: A 50-State Study, Washington, D.C.: Family Caregiver Alliance, National Center on Caregiving, 2004; Generations United, National Center on Grandparents and Other Relatives Raising Children, State Fact Sheets, Washington, D.C., October 2003; National Family Caregivers Association, Prevalence and Economic Value of Family Caregiving: State-by-State Analysis, Kensington, Md., 2000; U.S. Census Bureau, Census 2000.

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