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.

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:

  • 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

    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.
  • 9/10/2013 UPDATE: Is a provider of “foster care services” not funded by one of the disability waivers required to obtain a 245D-HCBS program license in addition to the foster care license? No. A provider of “foster care services” that are not funded by one of the disability waivers (BI, CAC, or CADI), is not required to obtain a 245D-HCBS program license in addition to the child or adult foster care license for foster care services provided to person with disability, whether or not the person receives a difficulty of care rate in addition to GRH payments. The foster care license alone meets the licensure requirement under the Human Services Licensing Act, Chapter 245A. The requirement for the 245D-HCBS program license is a provider qualification required by the disability waiver plans, in addition to the foster care license. A provider is required to obtain the 245D-HCBS program license if the foster care services are funded by one of the disability waivers. This licensure requirement applies whether the provider operates a “family” or a “corporate” foster care site.

  • ICF/DD
  • Day services

    Employment services

    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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