We Pay Caregivers
- Caregivers Earn $12 an Hour
- Weekly Pay & Direct Deposit
- Serving all of Missouri
- Caregivers Earn $12 an Hour
- Weekly Pay & Direct Deposit
- Easy to Sign Up
- Exceptional Customer Service
- Serving all of Missouri
- Easy to Sign Up
- Exceptional Customer Service
- Mobile App & Telephony Systems
Click here to see how we are responding to COVID-19

Joining is
Call Us
Sign Some Paperwork
We'll send you some documents to sign.
Confirm the Switch
The State of Missouri will call you to confirm the switch.

Am I eligible for CDS?
Am I eligible for CDS?
- Have Medicaid
- Live in Missouri
- Need help with Daily Activities
Where is Emerest available?
Who can I hire as a caregiver?
Who can I hire as a caregiver?
- Child
- Relative
- Friend
Program Benefits
- Annual Holiday Parties
- Seasonal Gifts
- Welcome Package
- Caregiver Wellness Program
- The Emerest Experience Newsletter
- Speak to an RN 24/7 for Free
Working Together With
About our CDS Agency
Emerest works together with Missouri’s Department of Health and Senior Services (DHSS), Home and Community Based Services Division (HCBS) to provide Consumer Directed Services (CDS) to aged and disabled Medicaid participants throughout the state of Missouri. If you live in Missouri, have Medicaid and need help with activities of daily living, your friends or family can get paid $12 an hour to care for you. Call us today at 833-We-Pay-12 and we’ll be glad to assist you!
What Is Consumer Directed Services?
CDS is a Medicaid-funded program that enables disabled or elderly people in Missouri to hire the caregiver of their choice to help with daily activities. This caregiver, or personal care attendant (PCA), can be a friend, a neighbor, or a family member other than a spouse or legal guardian. A PCA can help with daily chores or hygiene activities, including:
- Food preparation, homemaker activities and medication assistance
- Personal hygiene activities such as bathing or grooming
- Mobility assistance, transportation and shopping
This service is administered by the Missouri Division of Health and Senior Services (DHSS), and is available to eligible adults over the age of 18. The goal of this program is to help participants live independently and choose someone they trust to provide them with care. Participants are responsible for hiring and managing their own attendants and partner with a CDS provider, such as Emerest, for payroll, compliance and administrative support.
Emerest currently pays caregivers the highest posted wage in the state of Missouri at $12/hour. Give us a call today to see how you can hire your loved one to facilitate the care you need.