HCBS Care Plan Change Requests

HCBS Care Plan Change Requests

If you already receive Home and Community-Based Services (HCBS), you can ask to change your plan at any time in one of the following ways:

  • Online: Fill out the Change Request Form on the computer
  • By phone: Call 1-866-835-3505
  • Your HCBS Provider can request a change on your behalf

When a care plan change is received by DSDS, you can expect a call from the Person-Centered Care Plan (PCCP) team to review your care plan and the requested changes.

Preparing for a Care Plan Change – What to Expect

Review the following information about what to expect and how to prepare for the care plan change.

A copy of the ‘Preparing for a Care Plan Change’ document can also be downloaded.

Prepare to communicate with a care planning specialist:

  • Expect a call from (866) 835-3505. Please add this number to your contact list so you know the call is real and not a telemarketer
  • Ensure we have a way to leave a message if you miss our call; we will attempt to contact you one time and you will have 10 days to return our call before the request is closed.
  • The specialist assisting with your request will provide their direct phone extension. When you call, please wait for the message asking you to prompt you to enter a direct extension to speak with a specific person.  Call errors may occur if you enter the extension before prompted.
  • We must verify we are speaking with you. Be prepared to verify your:
    • MO HealthNet (Medicaid) number
    • Date of Birth
    • Social Security Number
    • Address
    • Phone Number
  • We have evaluated the information provided with the request. For the safety of all participants, we respond to requests with significant health and well being risks first. Processing times for care plan changes vary significantly.

Care Plan Development

Your care plan is unique to you! You and a care planning specialist will develop a care plan that gives you the extra help you need to stay independent at home or where you want to live.

  • Certain services have limits on cost, age, ability to self-direct, and other items. We will work with you to figure out what services you qualify for and build your care plan around what Medicaid and the HCBS Program allows.
  • HCBS services are based on your current needs.  HCBS cannot provide help with things you do not need today.
  • HCBS is not a total care or 24/7 care program. HCBS can provide extra help to add to the support system you currently have.

Prepare to answer the following questions

  • Do you want Agency Model or Consumer Directed Services?
    • Agency Model: Provider agency selects, hires, trains & supervises your caregiver
    • Consumer Directed: You select, hire, train & supervise your caregiver
  • What specific tasks do you need to be changed?
    • Examples: bathing, dressing, toileting, meal prep, laundry, medication set-up, light housekeeping tasks, home delivered meals, etc.
  • How often do you need help with each task and how much time does each task take to complete?
    • Examples: every day, workdays, weekends, etc.
  • Who will provide back-up support to you when your caregiver is not available?
    • You must provide a back-up plan that includes:
      • Name(s)
      • Relationship(s)
      • Phone Number(s)
      • Task(s) the back-up person(s) can support you with
  • What provider would you like to use?
    • Full business name and phone number
    • The name of the person you have been in contact with from the agency you wish to transfer your services to.
  • Why do you need this change?
    • Examples: include provider issues, change in health, change in informal supports, etc.