In-Home Services

As we age, many activities of daily living can become more difficult. Many older adults prefer to stay in their homes rather than move to a residential or skilled nursing facility. Older adults may choose to live independently in their homes with the help of in-home services.

In-Home Service Options

PERSONAL CARE- Assistance with daily living activities such as bathing/ grooming, meals, toileting and mobility/ transferring 

HOMEMAKER- Assistance with housekeeping such as dishes, laundry, shopping/errands and house cleaning

RESPITE- Provides temporary relief for the caregiver who normally provides care.

Obtaining In-Home Services

    MoHealthNet-Low-income older adults may be eligible for Medicaid, which pays for some of these services. Applications can be processed on-line or at your local Family Support Office. 
        Veterans Administration: Homemaker and Home Health Aide Care- This program is for Veterans who need skilled services, case management and help with activities of daily living.  This program is also for Veterans who are isolated or their caregiver is experiencing burden. These services can be used in combination with other Home and Community based services.
            Centers for Independent Living- The independent living concept is based on the philosophy that people with all types of  disabilities should have the same rights as those without disabilities.  The primary focus is providing and maintaining an independent lifestyle.  Centers for Independent Living provide information and referral, peer consultation, independent living skills training and individual and systems advocacy.

            Additional Resources

            Family Support Offices
            Ph:                             (855) 373-4636

            Center for Independent Living:
            St. Louis County:       Paraquad (314) 289-4200                                      Email:

            St. Charles County:   Delta Center (636) 926-8761                                  Email:

            Jefferson County:      Disability Resource Association (636) 931-7696    Email:

            Franklin County:        Heartland Independent Living (636) 583-7977       Email:

            St. Louis County

            Franklin County

            Jefferson County

            St. Charles County