Memorandum for Home and Community-Base Services Staff and Stakeholders

DATE: May 11, 2026

FROM: Melanie Highland, Director

SUBJECT: State of the Workforce-Aging and Disabilities (SoTW-AD) Survey

This memorandum serves to advise Home and Community Based Services (HCBS) Agency Model (in- home or RCF/ALF) as well as adult day care providers that the Division of Senior and Disability Services (DSDS) has concluded the review of the 2025 State of the Workforce-Aging and Disabilities (SoTW-AD) survey responses.

On May 15, 2026, DSDS will issue a one-time value-based payment of $2,000 to providers who fully and accurately completed the SoTW-AD survey in the fall. This payment will appear on the remittance advice accompanying your Medicaid reimbursement.

For additional information regarding this survey, please see INFO 09-25-03.

All questions regarding this memorandum or the SoTW-AD survey should be directed to DSDS via email at DSDS.Surveys@health.mo.gov.