WAIVER SERVICES

Home & Community Based services are designed for children and adults who have cognitive delays, social/emotional issues, and/or mental health challenges and live with their family, in foster care, or independently

 Brain Injury (BI): Brain Injury (BI) Waiver:

The Brain Injury Waiver provides funding for home and community-based services (HCBS) for children and adults who have an acquired or traumatic brain injury. Which Home and community-based services necessary as an alternative to institutionalization that promote the optimal health, independence, safety and integration of a person and who would otherwise require the level of care provided in a specialized nursing facility or neurobehavioral hospital.

Community Alternative Care (CAC) Waivers:

Community Alternative Care waivers provide funding for home and community-based services (HCBS) for children and adults who would otherwise require a hospital level of care and are chronically ill.

CAC Waiver services may be provided in a person’s own home, in his/her biological or adoptive family’s home, in a relative’s home (e.g. sibling, aunt, grandparent etc.), in a family foster care home or corporate foster care home.

  • Community Alternative Care (CAC) Waiver for chronically ill and medically fragile people who require the level of care provided in a hospital

Community Alternatives for Disabled Individuals (CADI):

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. 

CADI Waiver services may be provided in a person’s own home, in his/her biological or adoptive family’s home, in a relative’s home (e.g. sibling, aunt, grandparent etc.), a family foster care home or corporate foster care home, a board and lodging facility or in an assisted living facility. If married, a person may receive CADI Waiver services while living at home with his or her spouse.

 Consumer Directed Community Supports:

Consumer Directed Community Supports (CDCS) is a unique service option that gives persons more flexibility and responsibility for directing their services and supports, including hiring and managing direct care staff. CDCS may include services, support and/or items currently available through the MA waivers, as well as additional allowable services that provide needed support to persons.

Developmental Disabilities Waiver

 Developmental Disabilities (DD) Waiver provides funding for home and community-based services for children and adults with developmental disabilities. Assessed waiver service needs, as identified in the person’s service plan, may be provided in a person’s own home, in his/her biological or adoptive family’s home, in a relative’s home (e.g., sibling, aunt, grandparent, etc.), in a family foster care home or corporate foster care home.

Elderly Waiver (EW) for people over the age of 65 years who require the level of care provided in a nursing facility and choose to reside in the community (DHS Aging and Adult Services Division administers the EW program)

Eligible

Turning 65 A recipient receiving waiver services before age 65, remains eligible for the respective waiver after their 65th birthday if all other eligibility criteria are met. The case manager/service coordinator must inform a recipient nearing age 65 of the other community support options so that the recipient can choose which alternative will best meet their needs. Options may include the Elderly Waiver, remaining on their current HCBS waiver or other alternatives that may meet the needs and preferences of the recipient.

Covered

Basic support services

Homemaker services:  Homemaker service is provided at the family home to assist with household tasks, such as cleaning or to share caretaking responsibilities.

 Respite care services: Respite Care allows time away for the primary caregivers by providing support for the person who has developmental disabilities. This service may be at the family’s home or at a licensed facility to provide overnight care.

 Intensive support services

 In- Home Family Support

Habilitation services provided to a person and his/her family, including extended family members who are not providing licensed foster care, in the family’s home and/or in the community to enable the person to remain in or return to the home. This includes training of the person and family members to increase their capabilities to care for and maintain the person in their home.

Independent living skills training

ILS training is direct training from a staff person to address the identified skill development needs of a person in the areas of:

  • Communication skills

  • Community living and mobility

  • Interpersonal skills

  • Reduction/elimination of maladaptive behavior

  • Self-care

  • Sensory/motor development involved in acquiring functional skills.

 Behavioral support:

Service to increase positive behavior and decrease or eliminate severe, challenging behavior.

Behavioral support may be provided in the home or community. Covered services include the following:

  • Complete an individualized functional assessment of target behaviors

  • Develop a positive behavior support plan that may also include specific reactive or emergency strategies

  • Implement the plan

  • Train and supervise caregivers and behavior staff as needed to implement the plan

  • Reassess and modify the plan periodically

 Supported employment services

Paid employment for participants for whom competitive employment at or above the minimum wage is unlikely without supports, and who, because of their disabilities, need intensive ongoing support to perform in a community work setting. Supported employment is conducted in a variety of community work settings in which people without disabilities are employed.