---
title: Get Started | A Better Life Missouri CDS
description: Start your caregiver application with A Better Life Missouri CDS.
---

A Better Life Missouri CDS

Question 1 of 128%

Let's get started

# What's your name?

First name

Last name

Your details

# What's your email address?

We'll use this to follow up about your request.

Email address

Your details

# What's the best number to reach you?

A care team member will call to discuss your options.

Phone number

Your details

# What's your ZIP code?

This helps us match you with care options in your area.

ZIP code

A few quick questions

# Are you 18 or older?

Yes No

A few quick questions

# Do you have experience providing care for others?

For example, caring for an elderly parent or a friend.

Yes No

A few quick questions

# Are you currently caring for a family member or friend?

Yes No

About the person you care for

# Is the person you're caring for a Medicaid recipient?

Yes No I'm not sure

About the person you care for

# Who are you caring for?

Parent Grandparent Spouse Child Sibling Other family member Friend / Neighbor Someone else

About the person you care for

# What's the name of the person in need of care?

First name

Last name

About the person you care for

# Their phone number Optional

Leave blank if you'd rather not share it.

Phone number

Last one

# Who's filling out this form? Optional

The caregiver The person in need of care A family member Someone else

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Continue

Get Started

 By submitting this form, you agree that we may contact you about your request by phone, text message, and email, including with automated technology. Message and data rates may apply. You can opt out at any time.

## Thanks — we've got your information

A member of our care team will call you shortly to talk through your options.

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