Coming soon: 245D Basic Waivered Services (including: Personal Supports, Respite; Homemaker, IHS, ILS and , Night Supervision)
The Department of Human Services (DHS) licenses certain Home and Community-Based Services (HCBS) provided to people with disabilities and those over age 65. Most of the services are funded under one of Minnesota’s Medicaid waiver programs.
The HCBS standards under Minnesota Statutes, chapter 245D, are part of a larger HCBS Waiver Provider Standards initiative to improve the dignity, health, and independence of the people we serve. The lists below contain links to specific sections in the manual about each service.
A person must be a Minnesota resident and meet eligibility requirements specific to each waiver.
Covered services
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These are services that provide the level of assistance, supervision, and care that is necessary to ensure the health and safety of the person. Each is linked to the section in the Community-Based Services Manual with operational details about that specific service. Information about services requiring a license are in the Community-Based Services Program Manual.
- Individual community living supports (ILCS): For people who need reminders, cues intermittent/moderate supervision or physical assistance to remain in their own homes.
- Homemaker services: Eligible services range from light household cleaning to household cleaning with incidental assistance with home management and/or activities of daily living.
- Night supervision: Provides overnight assistance and monitoring by an awake staff in the person’s home.
- Personal support: Services provided in the person’s home or community in support of achieving potential, increasing independence and meeting community inclusion goals.
- Respite care services: Short-term care due to the absence or need for relief of the family member(s) or primary caregiver normally providing the care.
- Individualized Home Supports: Individualized home supports cover community living services in four categories:
- • Community participation
- • Health, safety and wellness
- • Household management
- • Adaptive skills.
When a person receives individualized home supports without training, they must receive support in at least one of the community living service categories.
When a person receives individualized home supports with training or individualized home supports with family training, they must receive training in at least one of the community living service categories. They also may receive support in any of the community living service categories.
Community participation
This category may include:
- • Community mobility and pedestrian safety (e.g., safely getting in and around the community)
- • Community resource use and access
- • Community safety and awareness
- • Informal support system and network development
- • Interpersonal communications skills
- • Leisure, recreation and socialization planning
- • Skill-building to meet transportation needs.
Health, safety and wellness
This category may include:
- • Collaboration with the person to arrange health care (e.g., physical, mental, chemical), meaningful activities, social services, meetings and appointments
- • Cueing, guidance, supervision, training or instructional support to complete self-cares
(Note: Cannot duplicate use of eligible Medical Assistance [MA] state plan home care services; see CBSM – Home care overview) - • Health services support, as defined in Minn. Stat. §245D.05
- • Help for the person to activate and build resiliency factors. (e.g., whole health action management)
- • Support for the person to design and meet individualized strategies to reach their health, safety and wellness goals.
Household management
This category may include:
1. Cueing, guidance, supervision, training or instructional support to complete routine household care and maintenance
2. Household safety knowledge and skills
3. Tenancy support and advocacy
4. Training, assistance, support and/or guidance with:
- • Budgeting and assistance to manage money
- • Cooking, meal-planning and nutrition
- • Healthy lifestyle skills and practices
- • Household chores, including minor household maintenance activities
(Note: The person is responsible for the cost of the maintenance replacement items or products) - • Personal-needs purchasing.
Adaptive skills
This category may include:
- • Crisis prevention skills
- • Implementation of positive support strategies
- • Problem-solving
- • Sensory/motor development involved in acquiring functional skills
- • Support strategies for self-sufficiency
- • Support and training to increase positive behavior, resulting in reduction or elimination of challenging behavior.
Non-covered services
Individualized home supports do not cover services that:
1. Duplicate other Minnesota state plan or waiver services
2. Provide generalized supervision (i.e., supervision not specific to support in a community living service category)
3. Exceed 16 hours per day of in-person individualized home supports
4. Primarily deliver activities of daily living (ADLs) support
(Note: A person may also receive personal care assistance [PCA] services when those services are not duplicative. In this situation, the lead agency must:
- • Inform the person that they have the choice of receiving PCA services from a different provider than the individualized home supports provider
- • Ensure there is documentation of the person’s choice of providers)
5. Provide supervision during the person’s primary sleeping hours.
(Note: A person may receive support during these hours through another service, such as night supervision services or 24-hour emergency assistance.)
Individualized home supports with family training is not covered for families, including extended family members, who are licensed to provide adult foster care, child foster care, family residential services or community residential services.
We currently cover the following services:
Individual community living supports (ILCS)
For people who need reminders, cues intermittent/moderate supervision or physical assistance to remain in their own homes.
Homemaker Services
Eligible services range from light household cleaning to household cleaning with incidental assistance with home management and/or activities of daily living.
Night Supervision
Provides overnight assistance and monitoring by an awake staff in the person’s home.
Personal support:
Services provided in the person’s home or community in support of achieving potential, increasing independence and meeting community inclusion goals.
IHS - Individualized Home Supports
- Individualized home supports cover community living services in four categories:
- • Community participation
- • Health, safety and wellness
- • Household management
- • Adaptive skills.
When a person receives individualized home supports without training, they must receive support in at least one of the community living service categories.
When a person receives individualized home supports with training or individualized home supports with family training, they must receive training in at least one of the community living service categories. They also may receive support in any of the community living service categories.
Community participation
This category may include:
- • Community mobility and pedestrian safety (e.g., safely getting in and around the community)
- • Community resource use and access
- • Community safety and awareness
- • Informal support system and network development
- • Interpersonal communications skills
- • Leisure, recreation and socialization planning
- • Skill-building to meet transportation needs.
Health, safety and wellness
This category may include:
- • Collaboration with the person to arrange health care (e.g., physical, mental, chemical), meaningful activities, social services, meetings and appointments
- • Cueing, guidance, supervision, training or instructional support to complete self-cares
(Note: Cannot duplicate use of eligible Medical Assistance [MA] state plan home care services; see CBSM – Home care overview) - • Health services support, as defined in Minn. Stat. §245D.05
- • Help for the person to activate and build resiliency factors. (e.g., whole health action management)
- • Support for the person to design and meet individualized strategies to reach their health, safety and wellness goals.
Household management
This category may include:
1. Cueing, guidance, supervision, training or instructional support to complete routine household care and maintenance
2. Household safety knowledge and skills
3. Tenancy support and advocacy
4. Training, assistance, support and/or guidance with:
- • Budgeting and assistance to manage money
- • Cooking, meal-planning and nutrition
- • Healthy lifestyle skills and practices
- • Household chores, including minor household maintenance activities
(Note: The person is responsible for the cost of the maintenance replacement items or products) - • Personal-needs purchasing.
Adaptive skills
This category may include:
- • Crisis prevention skills
- • Implementation of positive support strategies
- • Problem-solving
- • Sensory/motor development involved in acquiring functional skills
- • Support strategies for self-sufficiency
- • Support and training to increase positive behavior, resulting in reduction or elimination of challenging behavior.
Respite Care
- Short-term care due to the absence or need for relief of the family member(s) or primary caregiver normally providing the care.
Exceptional Home Health is currently looking for candidates that have a passion to help others. If you’re interested, please visit our careers page here.
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Referrals
Do you know someone that can benefit from Exceptional Home Health?