Welcome To...

Our Services Page

We would love to assist you.
Contact CDE Health Care Services today!

Welcome To...

Our Services Page

We would love to assist you.
Contact CDE Health Care Services today!

Proudly Serving Greater St. Louis County, St. Louis City and its surrounding communities including St. Charles County.

How Can We Assist You?

Families used to think nursing homes, assisted living communities, and other centers were the only solutions for their loved ones when they began to change physically and cognitively. Now seniors, disabled individuals, and their families have a right to stay home. Our home care program is designed to keep our clients happier, healthier, and at home.

As you might know, “Home Care” is a simple phrase that encompasses a wide range of health care services. These services are delivered at home to recovering, disabled, chronic, and terminally ill individuals in need of assistance with essential activities of daily living needs.

Home Care is appropriate whenever a person prefers to stay in the comfort of their own home but still needs ongoing care that cannot easily or effectively be provided by family or friends. Elderly and disabled individuals are electing to receive home care services as their physical capabilities diminish.

Today, people are electing to live at home independently instead of being institutionalized.

Adults who are disabled and recuperating from acute illnesses are choosing Home Care whenever possible.

Infants and children who are chronically ill and disabled are receiving personalized treatment in their familiar and secure home environment.  Home care, in addition to Hospice services, enables terminally ill patients to receive compassionate care and maintain dignity until the end of their life, while at home.

It is ultimately CDE Health Care Services’ goal to keep individuals engaged in life mentally, emotionally, physically, and socially.  This can make a difference in their well-being and promote happier, healthier lives while at home.



"CDE Health Care Services does a good job. I have referred the company to some of my family members."
—Henry W.


What We Can Offer You

Our staff consists of:

  • Registered Nurses
  • Licensed Practical Nurses
  • Certified Nursing Assistants
  • Personal Care Assistants
  • Chore Workers
  • Companions

You will never have to:

  • Hire
  • Interview
  • Check References
  • Find Replacements (Employees)

All caregivers are CDE’s employees, not independent contractors or temporary staff from another facility.

  • We handle all payroll/payroll tax withholdings
  • We insure and bond our employees
  • All employees are covered by Workers’ Compensation

Our aides are carefully screened and interviewed. We perform extensive background checks, including but not limited to:

  •  A Missouri Family Safety Registry Check
  • Employment Disqualification List Screen
  • U.S. Citizenship Verifications
  • Current Proof of Identity
  • Professional and Personal Reference Checks

Our employees undergo core training before they begin caring for a client. We provide ongoing training in areas such as home safety, budgeting/finance, and dementia, throughout the year.

We also make periodic supervisory visits to ensure the highest quality of care is provided.

"CDE Health Care Services is a great company. I’ve been with the agency since 2001 so they must be doing something right. My family and I are very comfortable with the Personal Care Assistant that comes each day."

—Charlene E.

What Is Medicaid/Mo Healthnet and Do I Qualify?

What is Medicaid?
Medicaid is a state administered health program for eligible individuals and families with low incomes and resources that are jointly funded by both the state and federal government through The Center for Medicare & Medicaid Services. It offers coverage for necessary inpatient and outpatient medical care, nursing facility services for children under age 21, rehabilitation and physical therapy services, and home and community-based care to certain persons with chronic conditions.

Who is Eligible for Medicaid?

Low-income individuals and families who fit into select eligibility groups as recognized by federal and state law, including:

  • Pregnant women
  • Children and teenagers
  • Individuals 65 and older
  • Individuals who may be blind and/or disabled
  • Individuals leaving welfare
  • Families with children under the age of 18 as well as limited income and resources
  • Individuals/families with high medical bills that cannot be paid (must also meet other Medicaid eligibility)

The regulations for counting your income and resources vary from state to state and from group to group. There are special rules for those who live in nursing homes and for children with disabilities living at home.

What is Covered?
“Mandatory” Items and Services Covered Under Medicaid:

  • Physician services
  • Laboratory and X-ray services
  • Inpatient hospital services
  • Outpatient hospital services
  • Early and periodic screen diagnostic, and treatment (EPSDT) services for individuals under 21
  • Family planning
  • Rural and federally-qualified health center (FQHC) services
  • Nurse midwife services
  • Nursing facility (NF) services for individuals 21 or over

“Optional” Items and Services Covered Under Medicaid:

  • Prescription drugs
  • Clinic services
  • Dental services and dentures
  • Physical therapy and rehab services
  • Prosthetic devices, eyeglasses
  • Primary care case management
  • Intermediate care services facilitated for the mentally retarded (ICF/MR)
  • Inpatient psychiatric care for individuals under 21
  • Home healthcare services
  • Personal care services
  • Hospice services

The information above should not be used as a substitution for information about Medicaid learned through The Center for Medicare and Medicaid Services or through consultation with your physician. For more information about Medicaid, please visit the U.S. Department of Health and Human Services website.

"I feel that you offer a good service to the community. I don’t think that I could get a health care worker any better than the PCA provided to me by CDE Health Care Services."

—Melvina M.

Title 19

How to qualify for in-home care services through Medicaid/Missouri Healthnet Program.

To qualify for our services through Title 19, you must be eligible for Medicaid/Missouri Healthnet. If you do not have Mo Healthnet/Medicaid coverage and are in need of in-home health care services, our agency will personally come out and process a MO Healthnet/Medicaid application for you at no charge!

Our provider representatives will provide you with all the assistance you need.

Our nurse will schedule a preliminary assessment visit with you. If it is determined that you meet the Level of Care requirements, your referral will be forwarded to the Missouri Department of Health, and Senior Services, or the appropriate state contracted facility for qualifications of these services. This is a state funded program, which means that all recommendations are made by the Department of Health, and Senior Services, or the appropriate state contracted facility. They will review your assessment and re-determine that the level of care requirements were met, which will result in:

  • Approval of service, which includes verification of hours per day and days per week of services you can receive and type of service you will receive.

Upon approval, we will initiate services promptly.


  • Denial of service, which includes notification of why services were denied and the right to a fair hearing

"I have been through a lot with my illnesses and I don’t think that I could have made it without the staff at CDE Health Care Services. My home health care worker has been amazing."

—Alice S.

The Medicaid Specialty Program Services

Homemaker Chore (HC):
Homemaker chore services consist of general household cleaning provided by a trained homemaker. These tasks are necessary for a clean, safe, and healthy environment. Such chores are: laundry, ironing, dusting, mopping, vacuuming, disinfecting, polishing, medical/essential errands to grocery shop, pay bills, pharmacy, and post office.

Personal Care (PC):
Personal care services are maintenance services to assist individuals with activities of daily living such as bathing, dressing, grooming, and assistance with self-administered medication. Assistance with toileting needs for individuals with bowel and bladder incontinence, and medical related household tasks.

Advanced Personal Care (APC):
Advanced personal care services are maintenance services to assist individuals with activities of daily living when such assistance requires devices or procedures related to altered body functions (skin integrity, gastrostomy tubes, catheter care, ostomy care, assisting with lifting and transferring of a client, or passive range of motion).

Professional Non-Skilled Nurse Visits

Registered and Licensed Practical Nurses will provide services such as:

  • Fill Insulin Syringes
  • Set Up Oral Medication
  • Monitor Skin Conditions
  • Provide Nail Care
  • Assess Your Physical Condition

All clients must have 2 General Health Assessments provided by a professional nurse 2 times annually.

Respite Care and Advanced Respite Care

Respite care services are maintenance services of companionship and home activities to provide temporary relief for the regular caregiver of a dependent adult. Advanced respite care offers relief to a caregiver who lives with a client having specials needs (Bed fasting requires turning clients every 2 hours, behavioral disorders, prompting for self-administered medication, special monitors due to swallows, Parkinson’s, ALS, and strokes).

Healthy Children and Youth Program (HCY)

This is a comprehensive, primary and preventive health care program for Medicaid eligible children and youth until the age of 21. This allows children to remain in their home as a "healthy child" or "healthy youth.”

"I have used CDE's services for over 10 years for my disabled son. We are very happy with the care that he receives. I plan to use their services as long as he qualifies for it!"

—Tracy R.


The Veteran & Consumer Directed Program

Individuals can legally work for their own families and be compensated and the Structure Family Care Giver Waiver where the actual client and caregiver can live together if the client has some form of memory loss

Proudly Serving Greater St. Louis County, St. Louis City and its surrounding communities including St. Charles County.

Private Pay (Out-Of-Pocket)

Individuals using Long-Term Care Insurance or personal funds are considered ‘private pay’ since they are not being covered by a government program. Insurance plans often have restrictions and limits. If your insurance does not cover the services you need, or discontinues payment for services already received, you are generally left to pay the difference ‘out-of-pocket.’

Paying privately for home healthcare services is often an option for individuals who remain living independently in their homes but are not qualified for state or federal government funded programs.

For those individuals who are interested in our out-of-pocket program, we offer reasonable/competitive rates.


Here are a few of the private duty services we provide:

You do not have to be elderly, sick, or disabled to receive the following services. We offer these services to anyone who is seeking personal assistance or in need of their household being maintained. These services are uniquely designed to meet your needs.

Personal Care Services

  • Companionship
  • Bath Service
  • Meal Preparation
  • Feeding Assistance
  • Medication Reminders
  • Fluid Intake
  • Oral Hygiene
  • Dressing/Grooming

Housekeeping Services

  • Laundry
  • Dusting
  • Cleaning Kitchen/Appliances
  • Mop/Sweep/Vacuum Floors
  • Organizing Cabinets/Closets
  • Bedroom Organization
  • Bathroom


  • Grocery Shopping
  • Transportation
  • Doctor Appointments
  • Hair Appointments
  • Medical Essentials


  • Sitter
  • Reading
  • Writing Letters
  • Watching Television

CDE Health Care Services of St. Louis, Missouri