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Can a spouse get paid to be a caregiver in Missouri?

Short answer

Generally no

No. Missouri's HCBS manual says the attendant can't be the participant's spouse or legal guardian (DHSS HCBS manual).

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The programs to ask about, documents to gather, and who to call in Missouri. Print it now, no email needed.

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Programs to ask about in Missouri

1

Consumer-Directed Services (CDS) – Personal Care Assistance

The participant is employer of record and hires a personal care attendant, such as a family member or friend; a CDS provider handles payroll.

How to apply

See the DHSS HCBS FAQ.

If a spouse can't be paid, another relative often can. See who can be paid in Missouri.
Before you act: rules change and individual eligibility depends on your assessment. Confirm with the program. This page summarizes official sources and does not promise eligibility or pay.

Sources

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