Missouri Personal Assistance Agency Policy Manual

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The Missouri Personal Assistance Agency Policy Manual provides a comprehensive operational framework for agencies delivering personal assistance services to individuals with disabilities, older adults, and others requiring support with activities of daily living (ADLs) and instrumental activities of daily living (IADLs) in Missouri. This manual aligns with the regulations established by the Missouri Department of Health and Senior Services (DHSS) and the Missouri Department of Mental Health (DMH), including applicable sections of the Missouri Medicaid Provider Manual and state licensing standards. It also ensures compliance with Medicaid waiver programs such as the Aged and Disabled Waiver, the Independent Living Waiver, the Comprehensive Waiver, and other state-funded programs. The manual includes policies and procedures governing agency licensing and certification, client eligibility and assessment, individualized service planning, personal care assistance, staff qualifications and training, client rights and protections, health and safety protocols, infection control, emergency preparedness, incident management, documentation and billing, and quality assurance. It promotes a person-centered approach to service delivery that supports individuals in maintaining their independence, dignity, and well-being in their homes and communities. This manual serves as a foundational resource for personal assistance agencies in Missouri, ensuring the delivery of high-quality, compliant services that enhance the quality of life for individuals receiving care.