Choosing delivery, providers, payment, or a start
Compare provider-managed and Self-Directed Supports
Compare qualified-provider delivery with SDS only when waiver, residence, service, and employer conditions permit.
Official sources checked 2026-07-29
Start here
Compare Missouri Self-Directed SupportsBefore you start
- Waiver enrollment, authorized service and amount, living setting, ability to recruit and supervise, representative support, employer and payroll duties, fiscal-management requirements, support-broker need, backup plan, and desired schedule.
Who to contact
Use the official Regional Office, TCM or Support Coordinator, MO HealthNet, provider-relations, hearing, Constituent Services, crisis, or protective-report route that owns this step.
Step by step
- Ask the Support Coordinator which authorized services can be self-directed.
- Compare provider-managed delivery with SDS employer, fiscal, documentation, review, and backup responsibilities.
- Document the choice, responsible parties, onboarding, worker or provider search, and readiness dependencies.
Expected next
A documented delivery choice, SDS Specialist or provider contact, fiscal or employer onboarding, worker search, authorization update, or readiness plan.
Save this proof
ISP, authorization, options discussed, decision, employer and fiscal records, backup plan, and next event.
If this stalls or the answer is no
Ask the Support Coordinator or SDS Specialist to identify the current controlling requirements and open dependency.
Beyond Childhood planning aid
Compare provider-managed and Self-Directed Supports checklist
A Beyond Childhood planning aid derived from the cited official sources.
- Owner and program
- Date started
- Documents supplied
- Written result or confirmation
- Current open dependency
- Next event and date
- Escalation contact
Derived from Compare Missouri Self-Directed Supports, Use Missouri DDD service-provider resources
Official resources
Limits
SDS is for qualifying DD-waiver participants living in their own or family home and applies only to eligible services. It does not guarantee a worker, allocation, authorization, payroll readiness, backup, schedule, or start.
Beyond Childhood’s checklists and prompts are planning aids derived from official sources. They are not official forms, legal advice, eligibility decisions, or guarantees of funding, capacity, quality, or service.