An agency manages the caregiver
Under the agency model, an enrolled provider manages staffing and service delivery. The participant’s assessment and authorized plan determine what program-funded assistance can be delivered.
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Agency-directed care
Understand Missouri’s In-Home Services option.
Missouri In-Home Services can provide eligible participants with agency-managed assistance based on state authorization. This differs from CDS, where the participant directs their own attendant, and from private pay, where a family pays directly.
Start with eligibility and an assessment
Coverage depends on Missouri’s financial and functional requirements and the specific program. An assessment considers daily support needs. Do not assume all MO HealthNet coverage categories include the same home-care benefits.
Keep program care and private pay separate
For Medicaid-funded care, authorized tasks and hours come from the state care plan. Private-pay services are discussed and priced separately. Extra privately requested tasks are not automatically covered by Medicaid.
Ask Harmony about your next step
Tell us your county, whether you already have an assessment or authorization, and the type of agency support you are seeking. We will discuss current intake availability and whether Harmony can provide the requested service through your program.
Program-funded care with Harmony depends on confirmed provider enrollment, participant authorization, and availability.
Official resources: Missouri home and community-based service options. Reviewed September 2026.
How Harmony works
A conversation is the first step.
- 01
Tell us what you need
Start with our short eligibility form. Share your location, the kind of help you need, and your preferred schedule.
- 02
Discuss your care options
We review private-pay support or explain program requirements, availability, and the next steps for an assessment.
- 03
Arrange a start that works
Once the care plan, staffing, agreement, and any required authorizations are in place, we confirm when care can begin.
Get started
Not sure which care option fits?
Send this short form directly to our care team. No medical details are needed. We’ll contact you to discuss your options.