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Minnesota Department of Human Services Community-Based Services Manual (CBSM)
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Page posted: 10/1/03

Page reviewed: 12/26/13

Page updated: 5/26/17

Legal authority

Federally approved BI, CAC, CADI and DD waiver plans, Minn. Stat. §245D.02


Homemaker: Services ranging from light household cleaning to household cleaning with incidental assistance with home management and/or activities of daily living.

Primary caregiver: Person principally responsible for the care and supervision of the person. The primary caregiver must maintain his/her primary residence at the same address as the person and be named as an owner or lessee of the primary residence.


The person may receive homemaker services when either the:

  • • Person is unable to manage the general cleaning and household activities
  • • Primary caregiver who is regularly responsible for these activities is unable to manage the household activities or is temporarily absent.
  • Covered services

    Homemaker services include:

  • • Cleaning
  • • Home management
  • • Assistance with activities of daily living (ADLs).
  • Homemakers may monitor the person’s well-being while in the home, including home safety.


    Homemaker/cleaning services include light housekeeping tasks. Homemaker/cleaning providers deliver home cleaning and laundry services.

    Home management

    Homemaker/home management services may include assistance with the following:

  • • Arranging for transportation
  • • Meal preparation
  • • Shopping for food, clothing and supplies
  • • Simple household repairs.
  • Homemaker/home management providers deliver home cleaning services, and while onsite, provide assistance with home management activities, as needed.

    Assistance with ADLs

    Homemaker/assistance with ADLs includes assistance with the following:

  • • Bathing
  • • Toileting
  • • Grooming
  • • Eating
  • • Ambulating
  • • Dressing.
  • Homemaker/assistance with ADLs providers deliver cleaning services and, while onsite, provide assistance with ADLs, as needed.

    Non-covered services

    Homemaker services cannot duplicate other Minnesota state plan or waiver services. Homemaker services are not covered when the person resides in any of the following:

  • • Licensed foster care home
  • • Supervised living facility
  • • Residential care services.
  • Secondary information – DD waiver only

    Under the DD Waiver, the lead agency must authorize homemaker or respite services and include them as a part of the support plan to provide support to the unpaid caregiver if the person chooses to have his/her parent or unpaid caregiver provide residential habilitation services.

    The unpaid caregiver must provide habilitation services to the person when using homemaker service and there is no other residential habilitation service. The training does not need to occur while homemaking is being provided. Homemaker services are not residential habilitation services.

    Provider standards and qualifications

    Home management and assistance with ADLs

    Homemaker/home management and homemaker/assistance with ADLs are DHS enrollment-required services. For more information, see CBSM – Waiver/AC service provider overview.

    License requirements

    Unless excluded, providers of either of these two services must meet one of the following requirements:

  • • Have a license under Minnesota Statutes, Chapter 245D as a basic support service provider
  • • Have a license under Minnesota Statutes, Chapter 144A with a home and community-based services designation.
  • 245D exclusion

    In some cases, the person who receives services can use an individual provider who meets requirements for exclusion from 245D licensure. For more information, see CBSM – Exclusions from 245D licensure.


    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.


    Homemaker/cleaning services are approval-option: direct-delivery services. For more information, see CBSM – Waiver/AC service provider overview.

    Authorization, rates and billing

    The lead agency authorizes homemaker services at the pre-determined, 15-minute rate. For more information, see Long-Term Services and Supports Service Rate Limits, DHS-3945 (PDF).

    Additional resources

    CBSM – Waiver general process and procedures (BI, CAC, CADI, DD)

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    © 2018 Minnesota Department of Human Services Updated: 11/30/17 9:59 AM | Accessibility | Terms/Policy | Contact DHS | Top of Page | Updated: 11/30/17 9:59 AM