Home-Based Support Services

Our Home-Based Support Services (HBSS) program reimburses families for wages they pay household employees to care for loved ones with a developmental disability. Caregivers may assist in a broad range of activities, often including everyday tasks like dressing, eating and exercising, recreation, and special medical, learning or behavioral support. Specific tasks are determined by the family members who direct all aspects of care, including hiring, training, scheduling and supervising caregivers.

To be eligible for reimbursement through HBSS, each caregiver must be over 18 years old and complete a brief orientation with our Self-Directed Services Coordinator.

Caregivers must be over 18 years old and are not eligible for reimbursement if they:

  • Are an immediate family member of the person receiving services
  • Receive HBSS for their own family member
  • Provide other services simultaneously
  • Work for BCFR in any capacity

Finding Caregivers

Often, the best way to find a caregiver is through social connections. You might ask people at your church, gym, school or workplace if they know someone who would be interested. Other strategies for recruiting a caregiver might include advertising in a local newspaper, college employment board, or searching our online Caregiver Directory (password required).

To find out if your loved one is eligible for HBSS, please contact your Support Coordinator at BCFR. Passwords to view the Caregiver Directory are given only to those with eligible family members.

For questions about the program, or to schedule an orientation with the caregiver you have hired, contact our Self-Directed Services Coordinator at HBSS@bcfr.org or by calling (573) 874-1995 x145.


Screening Potential Caregivers

Two options provided by the State of Missouri for screening potential caregivers include the Family Care Safety Registry (FCSR) and Case.Net.

The FCSR provides background information about caregivers to potential employers.

Case.Net allows anyone to view Missouri court records deemed public under the Missouri Revised Statutes.