Services
Services
IHS (Individualized Home Support) With/Out Training/Family Training
Individualized Home Supports (IHS) are services for people who live in their own home or a family home, providing support and/or training in community living service categories (see covered services section).
Types of IHS
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Without Training – Support only, no formal skill-building.
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With Training – Includes skill-building and instruction to improve independence and community living.
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With Family Training – Provides training and guidance to family members to support the individual.
Where Services Can Be Provided
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Individual’s own home
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Family home
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Community spaces open to the general public
Services can be delivered in-person or remotely (see remote support service delivery option section).
Support in Community Living Service Categories
Includes:
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Cueing, guidance, and instruction
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Skill maintenance
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Assistance with activities of daily living (ADLs)
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Coordination of community living activities
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Direct supervision
Support must be provided within allowable community living service categories.
Training in Community Living Service Categories
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Provides skill-building and instruction to help the individual acquire, retain, or improve skills needed for independent community living.
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Training must align with identified needs from the person’s assessment (e.g., MnCHOICES, long-term care consultation).
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Training must be within allowable community living service categories.
Services
ICLS (Individual Community Living Support)
Individual Community Living Supports (ICLS) are bundled services designed to help older adults remain in their own homes by providing reminders, cues, intermittent/moderate supervision, or physical assistance.
Eligibility
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Services are for individuals age 65 and older enrolled in the Alternative Care (AC) program or the Elderly Waiver (EW).
Service Components
ICLS includes six key service components:
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Active Cognitive Support – Assistance with memory, problem-solving, and decision-making.
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Adaptive Support Service – Support to maintain independence in daily routines.
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Activities of Daily Living (ADLs) Support – Help with personal care tasks such as bathing, dressing, and eating.
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Household Management Assistance – Support with chores, meal preparation, and home maintenance.
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Health, Safety, and Wellness – Ensuring the individual’s physical well-being and safety at home.
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Community Living Engagement – Assistance to participate in social, recreational, or community activities.
Services
Supportive Living Services for Adults
Supportive Living Services for Adults, offered through Minnesota’s Department of Human Services (DHS), provide individualized assistance to help adults with disabilities live in the community rather than in institutional settings.
These services may include support with:
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Daily living activities (ADLs and IADLs)
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Health-related care
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Household tasks
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Access to community resources
Accessing Services
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Individuals typically work with their county or tribal case managers.
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Services may also be accessed through waiver programs, such as:
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Brain Injury (BI) Waiver
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Community Access for Disability Inclusion (CADI) Waiver
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Elderly Waiver (EW)
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These programs ensure that adults with disabilities receive the support they need to live safely, independently, and actively in their communities.
Services
Semi-Independent Living Skills (SILS)
Semi-Independent Living Services (SILS) provide training and assistance to adults with developmental disabilities to help them live successfully in the community.
Services may include support with:
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Managing money
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Meal preparation
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Shopping
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Personal hygiene
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Other activities needed to maintain and improve independence and life skills
Goals of SILS
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Support individuals in achieving their personal goals
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Encourage individuals to direct their own lives
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Enhance the individual’s capacity for independent community living
SILS Eligibility Criteria
To be eligible for Semi-Independent Living Services (SILS), an individual must meet all of the following criteria:
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Be 18 years of age or older
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Be determined to have a developmental disability or a related condition
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Be unable to function independently without the support provided by SILS
Services
Homemaker Services
Homemaker services help individuals manage general cleaning and household activities. There are three types of homemaker services:
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Homemaker Cleaning
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Homemaker Home Management
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Homemaker Assistance with Activities of Daily Living (ADLs)
1. Homemaker Cleaning
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Focuses exclusively on home cleaning tasks, such as:
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Light housekeeping
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Laundry services
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Also includes monitoring the person’s wellbeing while in the home, including home safety.
2. Homemaker Home Management
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Includes homemaker cleaning services as the primary service.
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Provides incidental assistance with home management activities, such as:
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Arranging transportation
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Preparing meals
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Shopping for food, clothing, and household supplies
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Performing simple household repairs
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Also includes monitoring the person’s wellbeing and home safety.
3. Homemaker Assistance with ADLs
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Includes homemaker cleaning services as the primary service.
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Provides incidental assistance with ADLs, such as:
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Ambulating
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Bathing
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Dressing
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Eating
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Grooming
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Toileting
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Also includes monitoring the person’s wellbeing and home safety.
Services
Respite In-Home/Out of Home
Respite Care provides short-term care services to a person when their primary caregiver (the individual principally responsible for their care and supervision) is absent or needs relief.
Types of Respite Care
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In-Home Respite
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Provided in the person’s home.
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May also include time spent in community locations used by the general public (e.g., malls, parks, libraries) while the person continues to reside at home.
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Out-of-Home Respite
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Provided in a licensed or unlicensed setting outside of the person’s home.
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May also include time spent in community locations used by the general public (e.g., malls, parks, libraries) while the person resides in the out-of-home setting.
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Services
Night Supervision
Night Supervision Services provide overnight assistance and supervision by staff in a person’s own home when there is an assessed need in one of the covered service areas.
Eligibility
A person may receive night supervision services if they:
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Live in their own home.
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Are assessed to need overnight assistance and supervision in at least one of the following areas:
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Implementation of the person’s positive support programming and transition plans.
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Reinforcement of skill development supports (e.g., Individualized Home Supports).
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Assistance with activities of daily living (ADLs).
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Assistance with instrumental activities of daily living (IADLs).
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Service Details
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Night supervision may include staff being awake in the home while performing the eligible activities listed above.
Services are provided directly in the person’s home to ensure safety, skill reinforcement, and support throughout the night.
Services
Personal Support
Personal support services are a range of non-medical assistance designed to help individuals with everyday tasks that may be difficult to do alone. These services are commonly used by people with physical disabilities, developmental conditions, chronic illnesses, or age-related limitations.
Support is typically provided by trained staff or caregivers in the person’s home or another familiar setting, with the goal of helping the individual while preserving independence and quality of life.
What Are Personal Support Services?
Personal support services are tailored to each individual’s needs. The type and level of support vary depending on a person’s daily or weekly requirements.
Common Examples of Personal Support Services:
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Assistance with bathing, grooming, and dressing
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Support with meal preparation and eating
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Light housekeeping and laundry
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Medication reminders
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Help with mobility or moving around the home
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Assistance with attending appointments or running errands
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Social and emotional support
These services can be short-term (e.g., during recovery from surgery) or long-term, depending on a person’s health and support needs.
Services
Employment Development / Exploration / Support Services
Employment exploration services help individuals gain a better understanding of competitive, integrated employment opportunities within their community. These services are designed to broaden knowledge, build interests, and explore preferences, so that individuals can make informed decisions about pursuing competitive employment.
Employment Exploration Includes:
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Individualized educational activities – Tailored learning to help identify skills and interests.
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Learning opportunities – Exposure to job options, workplace expectations, and employment paths.
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Work experiences – Hands-on opportunities to explore different types of jobs and roles.
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Additional related services – As identified in the person’s Coordinated Services and Supports Plan (CSSP).
Services
24-hour Emergency Assistance (non-equipment)
24-hour emergency assistance provides on-call counseling, problem solving, and/or immediate response at a person’s home when they experience a health or personal emergency that is not related to an injury or immediate danger.
⚠️ This service does not replace 911 when emergency medical or safety services are required.
Key Details:
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Immediate Response:
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Means a timely action taken without delay.
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Staff are not required to be physically present if alternative response methods (e.g., phone, video, remote support) meet the person’s needs.
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The type of immediate response must be tailored to the individual and outlined in their support plan.
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Primary Caregiver:
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The individual who has principal responsibility for the person’s care and supervision.
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Must live at the same address as the person.
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Must be listed as an owner or lessee of the residence.
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Services
Adult Companion Services/Personal Support
Adult Companion Services provide non-medical care, supervision, and socialization for individuals age 18 or older.
These services are designed to support the person in achieving therapeutic or community integration goals outlined in their support plan.
Examples of Companion Activities:
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Attend a movie to practice coping skills and manage social anxiety.
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Participate in a community event to reduce social isolation.
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Play a board game to enhance fine motor skills.
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Provide verbal instructions or cues to help the person complete tasks.
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Assist or supervise with tasks such as laundry, light housekeeping, meal preparation, and shopping
