HarmonyHOME SERVICESCare that feels personal
Helping seniors and individuals with disabilities remain safely at home throughout St. Louis County and Jefferson County, Missouri.
Start with what you need
You don’t have to know which option fits. Choose the path that sounds closest, and we’ll help from there.
You want care without a program
Pay directly for flexible, non-medical help at home without relying on Medicaid authorization or program eligibility.
You want agency-provided care
For eligible participants, authorized non-medical support is delivered by an agency caregiver based on an approved plan of care.
You want more control
If you have MO HealthNet and a physical disability, CDS may let you choose and direct your own personal care attendant—including certain people you already know and trust.
How Harmony works
Start with our short eligibility form. Share your location, the kind of help you need, and your preferred schedule.
We review private-pay support or explain program requirements, availability, and the next steps for an assessment.
Once the care plan, staffing, agreement, and any required authorizations are in place, we confirm when care can begin.
Consumer Directed Services
Explore Missouri CDS eligibility and caregiver choices →
CDS is a Missouri program for qualifying MO HealthNet participants with physical disabilities. It is designed to give participants more control over who provides personal care and how that care fits their day.
Submitting an inquiry does not determine or guarantee eligibility. Final eligibility and service authorization are determined under Missouri program requirements.
Start the CDS questionnaire →Answer a few basic questions about county, MO HealthNet, and CDS status.
We’ll listen, explain the process, and identify reasonable next steps.
If CDS appears to fit, we’ll help you understand the enrollment process.
In-Home Services
For qualifying Missouri participants, In-Home Services can provide agency-managed, non-medical help based on an authorized plan of care. We’ll listen to your needs and help you understand the next step.
“Dignity isn’t an extra. It’s the starting point for every visit.”Ask about In-Home Services
How we can help
Respectful help with bathing, dressing, grooming, and daily routines.
Conversation, connection, and a reassuring presence at home.
Simple meal planning, preparation, and kitchen clean-up.
Laundry, tidying, and everyday tasks that keep home comfortable.
Dependable help getting to errands and appointments.
Time for family caregivers to rest, work, or attend appointments.
Explore respite care →Friendly reminders to follow the person’s existing medication routine; no prescribing or dose changes.
Help with everyday movement when assessed as safe and included in the agreed care plan.
Support with groceries and essential everyday errands.
Feeding, walks, and basic support for beloved pets.
See our complete pet-care approach →
A local company with personal values
Harmony Home Services LLC is a family-owned, veteran-owned company serving St. Louis County and Jefferson County. We understand how much trust it takes to invite someone into your home—and how important it is to feel heard throughout the process.
Our goal is simple: help people remain safe, comfortable, and connected in the place they call home.
Meet Harmony and learn what to expect →
Why choose Harmony?
Service, respect, and responsibility shape the way our family approaches support in your home.
Our service area is St. Louis County and Jefferson County. We start with your location and needs so we can discuss realistic options.
We learn your priorities, preferences, and household routines before discussing a plan. Non-medical support should fit your life.
Discuss the caregiver role, applicable screening and training, schedule, costs, and communication before agreeing to care.
Close to home
Explore care options near you. Availability depends on your location, schedule, care needs, and program requirements.
Missouri CDS is a Medicaid-funded program that may allow an eligible person with a physical disability to direct their own personal care and choose the attendant who helps them, subject to program rules.
An eligible participant may choose a qualified adult child, other eligible relative, or friend. A spouse cannot be a paid Missouri CDS attendant. Screening, program approval, and other restrictions apply.
CDS is tied to Missouri Medicaid (MO HealthNet). Other eligibility requirements also apply. If you are unsure of your status, you can still contact us and we’ll discuss possible next steps.
Our private-pay in-home care path is designed for families who want dependable non-medical help at home. We’ll learn about your schedule, routines, and priorities before discussing a care plan.
Harmony Home Services serves families in St. Louis County and Jefferson County, Missouri.
No. Harmony provides non-medical support. If you need clinical or skilled nursing services, we encourage you to speak with a qualified medical provider.
Get started
Send this short form directly to our care team. No medical details are needed. We’ll contact you to discuss your options.