Home and community-based services requiring a 245D license

Information about home and community-based services that require a 245D-HCBS license is available from the Community-Based Services Program Manual (CBSM) by following the links for basic and intensive support services.

  • • See a chart of the 245D-HCBS license structure (PDF)
  • Basic support services

    Basic support services provide the level of assistance, supervision and care that is necessary to ensure the health and safety of the person and do not include services that are specifically directed toward the training, habilitation or rehabilitation of the person.

    Basic support services include:

  • Individual community living supports (ICLS)
  • 24-hour emergency assistance
  • Companion services - excluding companion services provided under the Corporation for National and Community Services Senior Companion Program
  • Homemaker services - excluding providers licensed by the Department of Health under chapter 144A and those providers providing cleaning services only
  • Night Supervision
  • Personal support
  • Respite care services
  • Intensive support services

    In addition to the basic support service level of assistance, supervision and care, intensive support services provide services specifically directed toward the training, habilitation or rehabilitation of the person.

    Intensive support services include:

    Intervention support services

  • Behavioral support
  • Specialist services
  • Crisis respite
  • In-home support services

  • Independent living skills training
  • Semi-independent living skills
  • Residential-based habilitation, including:
  • • in-home family support
  • • supported living services for adults in their own home
  • Residential supports and services

  • Residential-based habilitation supported living services provided in a licensed site, including a foster care home, a community residential setting or a supervised living facility
  • Foster care services provided in a licensed site, including a foster care home or a community residential setting; excluding foster care services funded under the Elderly Waiver (EW) or the Alternative Care (AC) programs. “Foster care services” refers to the service itself, not the licensed setting where the service is provided.
  • ICF/DD
  • Day services

  • Day training and habilitation
  • Pre-vocational
  • Structured day
  • Employment services

  • Supported employment
  • Services not covered by 245D

    Adult day care

    Assistive technology

    Caregiver living expenses

    Caregiver training and education

    Case management

    Chore service

    Consumer directed community supports

    Customized living

    Environmental accessibility adaptations

    Extended home care services

    Extended home health aide

    Extended personal assistant

    EW foster care

    Extended private duty nursing

    Family training and counseling

    Home delivered meals

    Housing access coordination

    ILS therapies

    Personal emergency response

    Residential care

    Specialized supplies and equipment

    Transportation

    Transitional services

    EW/AC services with the exception of homemaker, companion & respite

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