Partnership for Hope
The Partnership for Hope is a creative program that more broadly serves and supports people in Missouri with development disabilities. The program is a unique collaboration between local county developmental disability boards, the Missouri Department of Mental Health and the federal Medicaid program. It is the first of its kind in the nation.
See Parternship for Hope in Action
Watch this video to see how the Partnership for Hope program serves and supports people in Missouri with development disabilities.
Services Supported
Behavior Analysis Service
Community Employment
Community Specialist
Co-worker Supports
Environmental Accessibility Adaptations
Independent Living Skills Development (ILSD)
Job Discovery
Job Preparation
Personal Assistant
Person Centered Strategies Consultant (PCSC)
Physical Therapy
Professional Assessment & Monitoring
Speech Therapy
Support Broker
Temporary Residential
Transportation
Eligibility Criteria
- Person is eligible for Missouri Medicaid;
- Person meets eligibility criteria for Division of DD services;
- Person’s needs can be met with current community support system and waiver services not to exceed an annual cost of $12,000;
- Meets ICF/ID Level of Care;
- Person resides in a participating county; and
- Person meets crisis or priority criteria.
FAQs about Partnership for Hope
Is there an age range eligible for the Partnership for Hope?
What is the priority of need for Partnership for Hope?
- Health and Safety conditions pose a serious risk of immediate harm or death to the individual or others;
- Loss of Primary Caregiver support or change in caregiver’s status to the extent the caregiver can’t meet needs of the individual; or
- Abuse, Neglect or Exploitation of the individual.
Priority
- Individual’s circumstances or conditions necessitate substantial accommodation that cannot be reasonably provided by the individual’s primary caregiver;
- Person has exhausted both educational and VR benefits or not eligible for VR benefits and have a need for pre-employment or employment services;
- Individual has been receiving supports from local funding for 3 months or more and services are still needed and the service can be covered by the waiver. Refinancing; or
- Person living in a non-Medicaid funded RCF chooses to transition to the community and determined capable of residing in a less restrictive environment with access to the PFH waiver.
Who determines the priority of need?
More Information
Partnership for Hope is administered through the Department of Mental Health. For information or questions:
- Contact Jackie Powell, Assistant Director, St. Louis Regional Office at 314-475-7633
- Visit the DMH – Partnership for Hope website
- Read the Partnership For Hope Summary
- View the Map of PFH Waiver Counties
Snapshot of PLB
The Productive Living Board for St. Louis County Citizens with Developmental Disabilities was established in 1979 when St. Louis County voters approved to tax themselves for the purpose of developing services and supports for residents with developmental disabilities.
News & Events
Employment Services Committee Meeting
July 1 @ 2:30 pm - 3:00 pmCommunity Services Committee Meeting
July 1 @ 3:00 pm - 3:30 pmAdministration Committee
July 1 @ 3:30 pm - 4:00 pmJuly 14, 2025 Board Meeting
July 14 @ 4:00 pm - 5:00 pm
Funding Totaling $31,080,918 Has Been Approved for FY’26
May 15, 2025
End of Year Reports Now Available
December 16, 2024
Amy Wilson and Lou Brock Jr. Appointed to the Productive Living Board
November 26, 2024