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Individualized home supports

Page posted: 7/1/18

Page reviewed:

Page updated:

Legal authority

Federally approved BI, CAC and CADI waiver plans, Minn. Stat. Chapter 245D

Definitions

Individualized home supports: Services providing support and training in community living service categories for a person who lives in his/her own home. Individualized home supports can be provided in the person’s own home or in public community settings and either in person or remotely.

Support for individualized home supports: A staff member providing direct supervision, cueing, maintenance, guidance, instruction, incidental assistance with activities of daily living or assistance with coordination of community living activities.

Training for individualized home supports: Instructional services through which a person receives direct training from a staff member on community living skills identified in a person’s assessment (e.g., MnCHOICES, long-term care consultation [LTCC]). Training includes skill building to acquire, retain and improve the person’s experience living in the community.

Community living service categories: Broad service categories for providing support and training to help a person to live independently in his/her community. The community living service categories are:

  • • Community participation
  • • Health, safety and wellness
  • • Household management
  • • Adaptive skills.
  • For more information, see the covered services section.

    Eligibility

    Individualized home supports are available for people in their own home (see CBSM – Requirements for a person’s own home) and on one of the following waivers:

    Covered services

    Individualized home supports require a person receives training in one or more community living service categories. In addition to the training requirement, individualized home supports may provide support in any of the community living service categories.

    The community living service categories are:

  • • Community participation
  • • Health, safety and wellness
  • • Household management
  • • Adaptive skills.
  • Community participation

    This community living service category may include:

  • • Community mobility and pedestrian safety (e.g., safely getting in and around the community)
  • • Community resource utilization 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 community living service 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 (Cannot duplicate use of eligible 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 in designing and meeting individualized strategies to reach health, safety and wellness goals.
  • Household management

    This community living service category may include:

    1. Cueing, guidance, supervision, training or instructional support to complete routine household cares 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 (the cost of the maintenance replacement item[s] or product[s] is the responsibility of the person)
  • • Personal needs purchasing.
  • Adaptive skills

    This community living service 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/training to increase positive behavior resulting in reduction or elimination of maladaptive behavior.
  • Non-covered services

    If a person receives individualized home supports, he/she cannot also receive:

    Individualized home supports cannot be delivered as:

  • • Supervision services during the person’s primary sleeping hours (Support during these hours can be through another service [e.g., night supervision technology, 24-hour emergency assistance])
  • • 24-hour on-sight supervision service.
  • Individualized home supports do not cover services that duplicate other Minnesota state plan or waiver services.

    The individualized home supports service provider cannot have any direct or indirect financial interest in the property or housing in which services are delivered.

    Secondary Information

    Distinguishing ILS from individualized home supports

    If a person has a need for training only, independent living skills (ILS) training is the appropriate service.

    If a person has a need for both training and support (i.e., direct supervision, cueing, maintenance, guidance, instruction, incidental assistance with activities of daily living or assistance with coordination of community living activities), individualized home supports is the appropriate service.

    Service delivery methods

    A person may receive direct support in person or remotely when it meets the criteria of the remote support policy for delivery of individualized home supports. In-person support must be scheduled a minimum of once a week. A person may receive in-person support and remote support on the same day.

    For more information about remote support, see CBSM – Remote support – Individualized home supports and supported living services for adults in own home.

    Documentation

    There must be clear documentation of service needs and outcomes identified in the coordinated services and supports plan (CSSP).

    The individualized home supports service provider is responsible to provide written reports to the case manager and the person who receives services at a minimum of once a year or the frequency established in the support plan.

    Service amount

    Individualized home supports are limited to a maximum of 16 hours of in-person service per day.

    Provider standards and qualifications

    Individualized home supports are DHS enrollment-required services. For more information, see CBSM – Waiver/AC service provider overview.

    License requirement

    An individualized home supports provider must have a license under Minnesota Statutes, Chapter 245D as an intensive support services provider.

    Reporting

    A provider licensed under 245D must report all uses of controlled procedures, emergency use of manual restraint and prohibited procedures according to Minn. Stat. §245D.06, subd. 5 to DHS via the Behavioral Intervention Report Form, DHS-5148.

    Authorization, rates and billing

    Individualized home supports are framework services. The lead agency uses the Rate Management System (RMS) to determine rates. For more information, see CBSM – Rate Management System and Long-Term Services and Supports (LTSS) Service Rate Limits, DHS-3945 (PDF).

    The lead agency authorizes individualized home supports:

  • • In-person at a 15-minute or daily rate
  • • Remote support at the 15-minute rate.
  • In-person individualized home supports 15-minute and daily cannot be authorized at the same time.

    Remote support cannot be authorized without in-person individualized home supports.

    Additional resources

    CBSM – BI, CAC, CADI and DD waivers general process and procedures
    CBSM – Remote support – Individualized home supports and supported living services for adults in own home

    TrainLink – Disability Services Division training archive
    (look for individualized home supports presentation from June 20, 2018)

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