Call us : (314) 985-5625

Welcome to Live Independent Consumer Direct

Veteran owned business.

Live Independent Consumer Direct (LICD) provides Consumer Directed Services (CDS) intended to assist in meeting the unmet needs of adults 18 and older with a significant physical disability, as defined by the CDS Program. LICD can locate attendants for you or you can find your own attendants. The attendants provide Personal Care Assistance which includes, but is not limited. Live Independent Consumer Direct cares for patients in their own homes where family support and familiar surroundings help create a level of comfort which enhances their daily lives. Our nurses and health care providers undergo full background screenings. Our health services are available 24 hours a day. Unless otherwise specified, the minimum service is normally four hours.

  • Have a need for In-Home Health Care services? Click here.

  • Private pay and Veterans welcome.

    How Ever

    Your attendant's job description will be based upon your personal care plan as prepared by your physician.

    Self Direct Your Care

    Your assigned (LICD) manager will be available to provide guidance on how to hire, train, and supervise your personal care attendant, as well as how to submit accurate timesheets. You must be able to act as an employer by performing the above duties. You must be able to assume the responsibility to self direct your care. If you are not able to do so, or unwilling, you will be advised of other options such as Home Heath Services through(not CDS).


    A nurse will visit you in your home to complete an assessment and other needed paperwork as it relates to your need for services. The nurse will forward the assessment paperwork to the Department of Health and Senior Services (DHSS) for review and approval. DHSS will determine the number of Personal Care hours per day you may receive through the CDS program.

    Who Pays

    Consumer Directed Services (CDS) is funded by the Missouri Social services (DSS), MO HealthNet Division (MHD) and administered by the Missouri Department of Health and Senior Services, Division of Senior and Disability Services (Department) DHSS. CDS can be paid for by other sources but there can be lengthy waiting list.

    Our Services

    • In-Home Nurse Aides and Caregivers.
    • Bath Services.
    • Specialized Nursing Visits.
    • Home Nurse Aides and Caregivers.
    • Our nurses and health care providers undergo full background screenings.
    • Our health services are available 24 hours a day.

    About Rates

    Our patients are primarily medicaid. Therefore, all care is paid for by the state of Missouri. When you just need someone in your home. A nurse will set up the care you need and supervise your care. Nurse Aides will provide personal care as well as assistance around the house. These duties include:
    »»   Bathing and personal grooming
    »»   Assistance with medications
    »»   Housekeeping
    »»   Meal preparation
    »»   Other services as requested
    »»   One Hour Bath Services

    Eligibility Requirements:

    »»   Be Missouri Medicaid eligible
    »»   Meet the level of care (21 or greater on needs assessment) requirement by DHSS
    »»   Capable of living independently with personal care assistance services as determined
    »»   Be physically disabled
    »»   Be 18 years of age or older
    »»   Be able and willing to direct his/her own care
    »»   Your Personal Care Attendent Cannot be Your Spouse