Integrated Licensing Systems: MDH Home Care and DHS 245D Licensing

What Does Integrated Licensing Do?

  • • Allows a comprehensive home care provider to provide 245D basic support services under the provider’s home care license - without the additional requirement of obtaining a 245D license
  • • Comprehensive home care provider must apply to Minnesota Department of Health (MDH) for a HCBS “designation” before providing 245D basic support services.
  • • MDH will collect a supplemental fee for the “designation.”
  • • The HCBS designation is added to the comprehensive home care license.
  • • MDH staff will enforce 245D standards along with home care requirements.
  • Exceptions

    Home care providers are required to obtain a 245D license for the following services:

  • • ANY 245D intensive support service
  • • Any foster home or community residential setting that provides foster care or supported living services to one or more persons on a disability waiver (BI, CAC, CADI, and DD waivers). You do not need a 245D license if the foster home is only providing foster care to persons on the Elderly Waiver.
  • Minnesota Department of Health – Home Care Licensing
  • Read Minnesota Statutes, section 144A.484 to learn more about the standards for providing 245D basic support services through a 245D desination on your comprehensive home care license.

    MDH integrated licensure – home care licensure with HCBS designation – information including application for HCBS designation

    MDH integrated licensure FAQs – questions and answers about integrated licensure

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