October 2, 1998 – The Jasper County Sheltered Facilities Board entered into an agreement with the Department of Mental Health/Division of Developmental Disabilities which provided the option for the Jasper County Sheltered Facilities Board to provide case management services in Jasper County. Prior to this agreement, all case management services were provided through state offices operated by the Department of Mental Health.

December 7, 1998 – Connections Case Management was opened. Initially, case management services were provided by Connections to 149 persons. The Department of Mental Health, through the Joplin Regional Office also provided case management services to persons living in Jasper County.

April 1, 2008 – The Jasper County Sheltered Facilities Board entered into a new agreement with the Department of Mental Health that charged Connections Case Management with providing case management services to all persons in Jasper County who were qualified for services.

October 1, 2010 – The Partnership for Hope Medicaid Waiver was implemented. This is a matching funds agreement between various Missouri Senate Bill 40 counties, the Missouri Department of Mental Health, and Medicaid to provide funding and reduce waiting lists for services. Within five days of implementation of the Partnership Waiver, Connections Case Management secured the first two waiver slots in the state for persons to be served in Jasper County.

July, 2012 – The Partnership for Hope agreement between Missouri Senate Bill 40 counties and the Department of Mental Health was expanded. This allowed for hundreds more individuals across the state to participate in the waiver.