Metro Call-A-Ride serves passengers in the city of St. Louis and St. Louis County who have limited access to MetroBus or MetroLink and/or disabled residents who are unable to use those services.

[4] In April 2023, in response to ongoing operator shortages, Metro announced that it would reduce its service area for Call-A-Ride, primarily in southwest and far north St. Louis County.

These reductions in service have led to significant criticism for the transit agency.

[5][6] During a January 15th, 2024 service adjustment, Metro announced it had increased Call-A-Ride driver ranks to 124, up from 102 in November 2023 but still below the 201 budgeted.

[7] Metro's Call-A-Ride fleet is made up of 123 vans equipped with an accessible lift or ramp and priority seating.