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"Facilitating freedom, choice, and opportunity through innovative fiscal agent solutions."


Adair County SB40 Developmental Disability Board

The Adair County SB40 Developmental Disability Board is a political subdivision of Adair County, Missouri, providing essential resources for people with developmental disabilities.
The mission of the Adair County SB40 Board is to engage in ADVOCACY, promote INCLUSION, and provide essential RESOURCES to assist people with developmental disabilities to live self-determined lives.



A. T. Still University

A.T. Still University of Health Sciences serves as a learning-centered university dedicated to preparing highly competent professionals through innovative academic programs with a commitment to continue its osteopathic heritage and focus on whole person healthcare, scholarship, community health, interprofessional education, diversity, and underserved populations.


Chariton Valley Association

Chariton Valley Association is a private, non-profit organization established in 1982 in Kirksville, MO by a group of parents of children with developmental disabilities who recognized a need for local services. Chariton Valley Association has a proud history of providing high quality support services to individuals with developmental disabilities in Northeast Missouri-primarily in Adair County.

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Community Opportunities, Inc.

We provide supported employment for people with disabilities who choose to work at Community Opportunities. We serve the community -  from large companies to individual needs, long-term contracts or simple orders, we have the personnel and facilities to accomplish the task. Our employees are highly self-motivated and have a great sense of pride in their work.


Easterseals Midwest

Easterseals programs across the country provide a wide variety of interventions that help individuals of all abilities, including those with Autism Spectrum Disorder (ASD). Easterseals currently has a combination of services specifically targeting individuals with the diagnosis of ASD as well as other services that include individuals with ASD among their service recipients.

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High Hope

Employment Services, Inc.

High Hope Employment Services, Inc. is a not-for-profit corporation established to provide Competitive and Supported Employment, and Community Integration services for individuals with disabilities.  We also provide Transitional and Permanent housing for homeless and disabled homeless.  HHES, Inc. provides services in Sullivan, Linn, Adair, Schuyler, and Putnam counties in Northeast Missouri.  Services are provided to maximize the community integration of individuals served.


Judevine Center for Autism

The mission of Judevine® Center for Autism is to make a real difference in the quality of life for children and adults with autism and their families, wherever they may live.



Proud to serve the viewers of the Heartland since 1955.


Learning Opportunities/Quality Works, Inc.

LOQW is a leader in providing community life engagement services and employment services in Northeast Missouri.

"Learning the skills today… for. the opportunities of tomorrow."


Macon County Commission for Developmentally Disabled Citizens

Macon County Commission for Developmentally Disabled Citizens (MCCDDC) was established by the passage of a special property tax levy in 1984. Citizens of Macon County supported this measure to help people with developmental disabilities and their families receive support, advocacy, and connection to resources in their communities.

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Mark Twain Behavioral Health

Mark Twain Behavioral Health (MTBH) is a private not-for-profit Certified Community Behavioral Health Clinic (CCBHC) serving our community of Northeast Missouri since 1975.  MTBH is governed by a volunteer board of directors living throughout our fourteen-county area, which includes the counties of Adair, Audrain, Clark, Knox, Lewis, Macon, Marion, Monroe, Pike, Ralls, Randolph, Schuyler, Scotland, and Shelby.  In July 2021, Turning Point Recovery Centers joined our team.  This addition has allowed us to broaden our array of services and increased our community footprint.

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Public Partnerships, LLC

Public Partnerships | PPL supports individuals with disabilities, chronic illnesses, and aging adults in their choice to remain in their homes and communities and ‘self’ direct their own long-term care. This is an alternative to admittance into restrictive long-term institutional care or using home-care agencies that offer them little to no choice and control over their support workers and services.

As a Financial Management Service (FMS) provider, we support those eligible Medicaid recipients in their role as the employer, to hire and pay for their chosen care/support workers and services within their state approved, personalized plan and budget.


RAIL, Inc.

Rural Advocates for Independent Living assist persons with disabilities to live as independently as they choose within the communities of their choice. RAIL offers 5 CORE Services: Information and Referral Services, Peer Support, Independent Living Skills Training, Advocacy and Transition Services.  We also offer these additional services: low vision center, personal care products, durable medical equipment and Missouri Telecommunication Access Program. Rural Advocates for Independent Living, Inc. was established in 1992.  We are a non-profit 501(c)3, non-residential, consumer-controlled, Independent Living Center. 51% or more of RAIL’s board of Directors and staff consists of individuals with disabilities.


Truman State University

Distinct By Design

Every aspect of your student journey is deliberately crafted to fulfill your needs, potential and impact.
Ranked the #1 Public School in the Midwest for 25 Consecutive Years