Memorandum for Home and Community-Base Services Staff and Stakeholders
DATE: July 06, 2026
FROM: Verena Cox, Bureau Chief
SUBJECT: State of the Workforce-Aging and Disabilities 2026 Survey Preparation
This memorandum serves to advise Home and Community Based Services (HCBS) agency model (in home or RCF/ALF) and adult day care providers that the Division of Senior and Disability Services (DSDS) will be participating in the State of the Workforce – Aging and Disabilities (SoTW-AD) Survey again this year. The 2026 survey cycle is set to launch in September 2026. To prepare for the survey DSDS is requesting you update any outdated contact information with MMAC.
The SoTW-AD Survey was developed by ADvancing States, a national association that supports State agencies in improving, sustaining, and delivering long-term services and supports for older adults and people with disabilities.
The purpose of the survey is to collect data on the direct workforce serving older adults and individuals with physical disabilities. The survey collects statistics on employee wages, benefits, turnover, and other vital workforce information of agency model (in-home or RCF/ALF) and adult day care providers. These metrics will help DSDS identify and understand the factors that influence service delivery, which helps inform policy and fiscal initiatives.
The SoTW-AD Survey invitations will be emailed mid-September 2026 to all active providers who delivered DSDS services for the entirety of calendar year 2025 (January 1, 2025, through December 31, 2025). The invitations will be sent to the "business" email address on file with Missouri Medicaid Audit and Compliance (MMAC). All providers should ensure their contact information with MMAC is up to date no later than July 31, 2026. Any needed changes should be communicated to MMAC using the Change Request Form. Failure to update this information will result in the survey being sent to the wrong address and may prohibit participation.
This will be the fifth year DSDS has participated in the SoTW-AD. A summary of the year 3 survey cycle can be viewed here. The year 4 report is under final development and will be released in August.
An additional memo will be forthcoming with instructions and further guidance on completing the survey. Any questions regarding this memorandum should be directed to dsds.surveys@health.mo.gov.