Guide to Becoming an Adult Companion Service Provider in Missouri 


 

1. Program Definition and Services Provided 

Adult companion services in Missouri are designed to provide non-medical care, supervision, and socialization to individuals aged 18 or older. These services help individuals work toward therapeutic or community integration goals, such as assisting with tasks like laundry, light housekeeping, meal preparation, and shopping, while focusing on social interaction and emotional support. 

 

2. Regulations 

While Missouri does not have specific regulations for adult companion services similar to those in Minnesota (as described in, providers must comply with general consumer protection laws and any applicable Medicaid or waiver program regulations. For services funded through Medicaid waivers, providers must adhere to the standards set by the Missouri Department of Health and Senior Services and the Missouri Medicaid Audit and Compliance Unit. 

 

3. Licensing or Certification 

There is no specific license required to operate as an adult companion service provider in Missouri. However, providers may need certification for certain services, such as those reimbursed by Medicaid. 

 

4. Responsible State Agency 

The Missouri Department of Health and Senior Services and the Missouri Medicaid Audit and Compliance Unit are involved in overseeing services that may include adult companion care. 

 

5. Application Process 

To become a provider of adult companion services, you typically need to establish a relationship with local organizations or state agencies involved in funding these services. There is no specific online application platform for becoming a provider. 

 

6. Required Documentation 

  • Contract with State Agencies: Agreement with local organizations or state agencies. 
  • Proof of Business Registration: If applicable. 
  • Insurance and Liability Coverage: Proof of adequate insurance. 
  • Staff Qualifications: Documentation of staff experience in caregiving or related fields. 
  • Background Checks: Required for staff providing direct care services. 

 

7. Timeline for Approval 

The approval process can vary depending on the complexity of the services offered and the speed of contracting with state agencies. 

 

8. Pre-Application Process 

There is no formal pre-application process, but applicants should ensure they meet all eligibility criteria and have necessary documents ready. 

 

9. Pre-Application Training 

No specific pre-application training is required, but staff must be knowledgeable about caregiving techniques and social support strategies. 

 

10. Additional Notes 

  • Adult companion services must focus on social interaction and emotional support, rather than solely on physical assistance. 
  • Providers must maintain ongoing compliance with state regulations and ensure that all services are person-centered and tailored to the needs of the individuals being served. 

 

 

 

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