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Personal Attendant Services

Personal Attendant Services (PAS)
Personal Attendant Services (PAS) are a consumer-directed approach to attendant services. The program allows an adult with a significant physical disability, as defined by the program, to retain the services of a personal attendant, and actually control his or her care. Services are paid for by state and federal funds through Medicaid.

If you qualify for PAS, you make the decisions about who provides your care, and when and how this care is provided. For example, PAS consumers hire, train, supervise (and even fire!) their own attendants. They are actually the employer, complete with an IRS Employer ID number.

Delta Center administers PAS in the Missouri counties of St. Charles, St. Louis, Franklin, Lincoln and Warren, according to guidelines established by Medicaid and the Missouri Division of Health and Senior Services (DHSS). It typically takes about 60-90 days to access PAS. If you have a more immediate need for personal attendant services, you'll be referred to a home health care agency for services until you are approved for PAS.

Who Pays for Personal Attendant Services?
PAS is funded by Medicaid and administered by DHSS. (In some cases, PAS can be accessed by non-Medicaid eligible individuals, but there is a lengthy waiting list.)

How Does Delta Center Support Personal Attendant Services?
First, Delta Center works with you to determine and verify your eligibility. We review a number of factors, including your Medicaid eligibility, ability to direct your care, current support systems, and medical status, to ensure eligibility before processing your application. The PAS program is not available for persons residing in a residential care facility.

Once we verify your eligibility, we refer you to DHSS for an assessment, which we can help you plan for, if you wish. During the assessment, services may be authorized for personal care (bathing, toileting), housekeeping, laundry, meal preparation, shopping and other needs as identified during the assessment.

Delta Center offers any training or support you may require to manage your care. For example, we'll help you learn to:

Recruit prospective attendants
Interview and screen applicants
Manage paperwork, including timesheets and Medicaid requirements
Schedule and supervise your attendant(s)

Delta Center also manages on your behalf:

Criminal and abuse/neglect background checks on attendant candidates
Processing timesheets and payroll for your attendant(s)

To find out if you qualify for PAS, please contact our PAS Intake Specialist at 636-926-8761.

Healthy Children & Youth (HCY)
Delta Center also provides in-home attendant services for children and teens through the Healthy Children and Youth (HCY) program. The HCY program assists families by identifying medical supports necessary for the child to live at home and then arranges for an aide to provide those services (for example, while at work). To be eligible, a child must access MO HealthNet (formerly MediCAID), reside in Missouri, be 21 years old or younger, and be in need of medically necessary services.

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