Home and Comunity Service

Home and Community Services

Waivered services are home and community based services that supplement but do not replace other funding sources such as insurance, Medical Assistance, Medicare or other assistance. These publicly funded programs support people with a variety of disabilities, including developmental disabilities, chronic medical conditions, acquired or traumatic brain injuries and physical disabilities.

Waivered programs also support elderly individuals with daily care needs that make it difficult for them to live independently.The menu below will provide you with information about each program available.



Programs for Elderly Persons

Elderly Waiver (EW)

The Elderly Waiver program funds home and community-based services for people age 65 and older who are eligible for Medical Assistance and require the level of care provided in a nursing home but choose to live in the community.

Covered services include:

  • Adult day service
  • Case management
  • Chore services
  • Companion services
  • Consumer-directed community supports
  • Home health aides
  • Home-delivered meals
  • Homemaker services
  • Licensed community residential services, including customized living
    services, family and corporate foster care and residential care
  • Changes to make homes and equipment accessible
  • Personal care
  • Respite care
  • Skilled nursing
  • Specialized equipment and supplies
  • Personal emergency response systems
  • Training and support for family caregivers
  • Supports during transitions between different types of housing
  • Nonmedical transportation

For more information on the Elderly Waiver visit the following link:
https://edocs.dhs.state.mn.us/lfserver/Public/DHS-5357-ENG


Alternative Care (AC)

The Alternative Care program provides services for eligible Minnesotans age 65 and over who require the level of care provided in a nursing home but choose to reside in the community. By preventing and delaying transitions to a nursing facility, the program helps to prevent seniors from spending down their assets. Participants pay some of the cost of services with their own assets.

Covered services include:

  • Adult day service Case management
  • Chore services
  • Companion services
  • Consumer-directed community supports
  • Home health aides
  • Home-delivered meals
  • Homemaker services
  • Changes to make homes and equipment accessible
  • Personal care
  • Nutrition services
  • Respite care
  • Skilled nursing
  • Specialized equipment and supplies
  • Personal emergency response systems
  • Training and support for family caregivers
  • Nonmedical transportation

For more information on the Alternative Care Program visit the following link:
https://edocs.dhs.state.mn.us/lfserver/Public/DHS-4720-ENG


Programs for Disabled Persons

Community Alternative Care (CAC) Waiver:
This is a home and community-based service that provides an alternative to institutionalization that promotes the optimal health, independence, safety and integration of a person who is chronically ill or medically fragile and who would otherwise require the level of care provided in a hospital.

In addition to the full range of services traditionally covered by Medical Assistance (medically necessary hospital care, physician care, prescription drugs, dental services, therapies, counseling, medical transportation), the CAC Waiver offers a variety of services based on need such as:

  • 24-hour Emergency Assistance
  • Adult Day Care - FADS
  • Behavioral Support
  • Caregiver Living Expenses
  • Case Management
  • Case Management Aide
  • Chore Services
  • Consumer Directed Community Supports (CDCS)
  • Environmental Accessibility Adaptations
  • Extended Home Care Services
  • Family Training and Counseling
  • Foster Care
  • Home Delivered Meals
  • Homemaker
  • Housing Access Coordination
  • Independent Living Skills (ILS) Training
  • Respite
  • Specialized Supplies and Equipment
  • Supported Employment
  • Transitional Services

For more information on the CAC program visit the following link:
https://edocs.dhs.state.mn.us/lfserver/Public/DHS-5711-ENG


Community Alternatives for Disabled Individuals (CADI) Waiver:
In Minnesota, children and adults with disabilities who require the level of care provided in a nursing home may be eligible to receive services in community settings rather than in a nursing facility.

The CADI Waiver offers services to help a person live as independently as possible in community settings. In addition to the full range of services traditionally covered by Medical Assistance (medically necessary hospital care, physician care, prescription drugs, dental services, therapies, counseling, medical transportation), the CADI Waiver offers a variety of services based on need such as:

  • 24-hour Emergency Assistance
  • Adult Companion Service
  • Adult Day Care/Adult Day Care Bath
  • Behavioral support
  • Caregiver Living Expenses
  • Case Management
  • Case Management Aide Chore Service
  • Consumer Directed Community Supports (CDCS)
  • Customized Living
  • Customized Living 24 Hour
  • Environmental Accessibility Adaptations
  • Extended Home Care Services
  • Family Training and Counseling
  • Foster Care
  • Home Delivered Meals
  • Homemaker
  • Housing Access Coordination
  • Independent Living Skills (ILS) Training
  • Prevocational Services
  • Residential Care Services
  • Respite
  • Specialized Supplies and Equipment
  • Transportation Services

For more information on the CADI waiver visit the following link:
https://edocs.dhs.state.mn.us/lfserver/Public/DHS-5712-ENG


Brain Injury (BI) Waiver:
In Minnesota, children and adults with a diagnosis of brain injury who require the level of care provided in a specialized nursing home or neurobehavioral hospital may be eligible to receive services in community settings rather than in a nursing facility or hospital.

In addition to the full range of services traditionally covered by Medical Assistance (medically necessary hospital care, physician care, prescription drugs, dental services, therapies, counseling, medical transportation), the BI Waiver offers a variety of services based on need such as:

  • 24-hour Emergency Assistance
  • Adult Foster Care
  • Behavioral Support
  • Caregiver Living Expenses
  • Case Management
  • Case Management Aide
  • Chore Services
  • Consumer Directed Community Supports (CDCS)
  • Environmental Accessibility Adaptations
  • Extended Home Care Services
  • Family Training and Counseling
  • Foster Care
  • Home Delivered Meals
  • Homemaker
  • Housing Access Coordination
  • Independent Living Skills (ILS) Training
  • ILS Therapies
  • Night Supervision Services
  • Prevocational Services
  • Residential Care Services
  • Respite
  • Specialized Supplies and Equipment
  • Structured Day Program
  • Supported Employment Services
  • Transitional Services
  • Transportation Services

For more information on the BI waiver visit the following link:
https://edocs.dhs.state.mn.us/lfserver/Public/DHS-5714-ENG


Personal Care Assistant (PCA)

Personal Care Assistance is a service for people who need help with day-to-day activities so they can be more independent in their home and community. Services are available for people with physical disabilities, chronic diseases, behavioral diagnoses and mental illness.

A personal care assistant (PCA) helps with activities of daily living, such as eating, dressing, moving within one’s home, meal planning and preparation, and shopping; traveling to medical appointments and community activities; observation and redirection of behaviors; and health-related procedures and tasks.

For more information on the Personal Care Assistance Program
https://edocs.dhs.state.mn.us/lfserver/Public/DHS-6093-ENG


Developmental Disabilities (DD) Waiver:
This is a Home and community based service that offers an alternative to institutionalization that promotes the optimal health, independence, safety and integration of a person who meets the waiver eligibility criteria and who would require the level of care provided in an Intermediate Care Facility for Persons with Developmental Disabilities.

Covered services include:

  • 24-hour Emergency Assistance
  • Adult Day Care/Adult Day Care Bath
  • Assistive Technology
  • Caregiver Living Expenses
  • Caregiver Training and Education
  • Case Management
  • Chore Service
  • Consumer Directed Community Supports (CDCS)
  • Consumer Training and Education
  • Crisis Respite
  • Day Training and Habilitation
  • Environmental Accessibility Adaptations
  • Extended Personal Care Assistance
  • Home Delivered Meals
  • Homemaker
  • Housing Access Coordination
  • Personal Support
  • Residential Habilitation (In-Home Family Support, Supported Living Services)
  • Respite
  • Specialist Services
  • Supported Employment Services
  • Transitional Services

For more information on the Developmental Disability waiver visit the following link:
https://edocs.dhs.state.mn.us/lfserver/Public/DHS-5713-ENG

Am I eligible for a program?

Each program and waiver have similar requirements in order to be considered eligible to receive services and funding. For each program below you will see a quick reference to the requirements needed for eligibility. This, along with an assessment by a Public Health Nurse or Social Worker will determine your eligibility.

Community Alternative Care (CAC)

To be considered eligible for the CAC waiver you must be:

  • Under age 65
  • Certified Disabled
  • Eligible for Medical Assistance (MA)
  • In need of care similar to care provided in a hospital

Community Alternatives for Disabled Individuals (CADI)

To be considered eligible for the CADI waiver you must be:

  • Under age 65
  • Certified Disabled
  • Eligible for Medical Assistance (MA)
  • In need of care similar to care provided in a nursing home

Brain Injury Waiver (BI)

To be considered eligible for the Brain Injury Waiver you must be:

  • Under age 65
  • Certified Disabled
  • Diagnosed with a brain injury or related neurological condition
  • In need of care similar to care provided in a nursing home or neuro-behavioral hospital

Elderly Waiver (EW)

To be considered eligible for the Elderly Waiver you must be:

  • Age 65 and over
  • Eligibility for Medical Assistance (MA)
  • In need of care similar to the care you might receive in a nursing home

Alternative Care Program (AC)

To be considered eligible for the Alternative Care Program you must be:

  • Age 65 and over
  • In need of care similar to that you would receive in a nursing home
  • Able to meet the AC financial and service eligibility requirements (allowed more funds than MA eligibility)

Personal Care Assistance Program (PCA)

To be considered eligible for the Personal Care Assistance Program you must be:

  • Eligible for MA (Medical Assistance)
  • Live in a home or apartment
  • Be able to make decisions about your own care or have someone who can make the decisions for you.
  • In need of personal care such as dressing, grooming, walking, eating

Developmental Disability Program (DD)

To be considered for the Developmental Disability Waiver you must be:

  • Determined to be developmentally disabled
  • Eligible for Medical Assistance (MA)
  • In need of care that is similar to the care you might receive in an
    Intermediate Care Facility (ICF) for Developmental Disabilities

Assessment for Services

In addition to helping determine eligibility for a specific program, the comprehensive assessment provides information to persons so they can learn more about what services are available in their area. The assessment normally takes place in the individual’s home by a Public Health Nurse or Social Worker. During the assessment, the assessor asks a variety of questions related to physical and mental health, safety, and ability to manage day to day needs. The assessor will also ask questions directed toward your specific needs, strengths and desires and will then recommend services that are appropriate with a review of eligibility for programs that may pay for those services. The assessor will be able to answer questions and make other referrals to agencies that might also be of assistance.

If you are interested in having an assessment completed for yourself or a loved one, contact:
Horizon Public Health at 320-763-6018 and ask for the Intake Nurse.

What is a Case Manager?

Case managers assist persons that are on community programs develop a person centered and goal directed plan of care to serve their individual needs. The case manager will work with the person in the development, planning, implementation and evaluation of this plan. In addition, the case manager will authorize payment for the services needed to implement the plan.

The case manager will provide chronic disease management and assist the person with needed resources and appropriate referrals. The case manager will visit you regularly to review the care plan and make changes to services as needed.

Resources/ Applications for services

Department of Human Services: http://mn.gov/dhs/

Application for MN Health Care coverage: https://www.mnsure.org/

Additional Application forms through DHS: http://mn.gov/dhs/general-public/publications-forms-resources/application-forms/

Moving Home Minnesota: Helping people move from Nursing Homes or other institutions to community living:https://edocs.dhs.state.mn.us/lfserver/Public/DHS-6889-ENG

Nursing Home Facts: https://edocs.dhs.state.mn.us/lfserver/Public/DHS-5961-ENG

Deaf and Hard of Hearing: https://edocs.dhs.state.mn.us/lfserver/Public/DHS-6573-ENG

Adult Protection in Minnesota: Preventing Maltreatment of Vulnerable People Over 18 Years of Age: https://edocs.dhs.state.mn.us/lfserver/Public/DHS-6665-ENG

The Disability Linkage Line: MinnesotaHelp.info