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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: 7/13/18

Page updated: 7/13/18

Legal authority

Federally approved BI, CAC, CADI, DD and EW waiver plans, Alternative Care (AC) program (Minn. Stat. §256B.0913), Minn. Stat. §245D


Homemaker: Services that help a person manage general cleaning and household activities. There are three homemaker services:

  • • Homemaker/cleaning
  • • Homemaker/home management
  • • Homemaker/assistance with activities of daily living (ADLs).
  • Eligibility

    The person may receive homemaker services when either:

  • • The person is unable to manage the general cleaning and household activities
  • • The primary caregiver who is regularly responsible for these activities is unable to manage them or is temporarily absent (see Secondary information – Primary caregiver).
  • Covered services

    A person can receive any of the three types of homemaker services (cleaning, home management or assistance with activities of daily living [ADLs]).

    All homemaker providers may monitor the person’s wellbeing 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 providers deliver home cleaning services and, while onsite, provide assistance with home management activities as needed. Home management activities may include assistance with:

  • • Arranging for transportation
  • • Laundry
  • • Meal preparation
  • • Shopping for food, clothing and household supplies
  • • Simple household repairs.
  • Assistance with ADLs

    Homemaker/assistance with ADLs providers deliver cleaning services and, while onsite, provide assistance with ADLs as needed. Assistance with ADLs includes assistance with the following:

  • • Ambulating
  • • Bathing
  • • Dressing
  • • Eating
  • • Grooming
  • • Toileting.
  • Non-covered services

    A person cannot receive homemaker services if any of the following are true:

  • • He or she lives in a licensed setting (e.g., foster care or supervised living facility)
  • • He or she receives adult or child foster care, customized living or 24-hour customized living
  • • Homemaker services duplicate other Minnesota state plan or waiver services he or she already receives (e.g., chore, transitional services – BI, CAC, CADI and DD or transitional services – EW).
  • Secondary information

    A person on the DD Waiver who lives with a primary caregiver may choose to have his or her habilitation needs met by an unpaid caregiver instead of with residential habilitation services (see CBSM – Habilitation services – residential). When the person receives habilitation from an unpaid caregiver, the lead agency must also authorize either homemaker or respite services on the person’s service agreement. The person’s assessment must support the need for respite or homemaker services to free up the caregiver to provide habilitation.

    Primary caregiver

    BI, CAC, CADI and DD

    Under the BI, CAC, CADI and DD waivers, the primary caregiver must both:

  • • Maintain his or her primary residence at the same address as the person who receives services
  • • Be the owner or lessee of the primary residence.
  • AC and EW

    Under the AC program and EW, the primary caregiver does not need to reside at same address as person who receives 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, a person who receives homemaker/home management or homemaker/assistance with ADLs can use an individual provider who meets requirements for exclusion from 245D licensure. For more information, see CBSM – Exclusions from 245D licensure.


    Providers 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.

    License requirements

    Providers must:

    • Comply with the standards outlined in Minnesota Statutes, Chapter 245C on criminal background studies

    • Be able to perform the cleaning duties expected and provide a cost-effective means of meeting the person’s home-cleaning needs.

    County and tribal agencies may approve non-enrolled vendors who meet state service standards to deliver homemaker/cleaning services. For more information, see CBSM – Lead agency oversight of waiver/AC approval-option service vendors.

    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) and CBSM – Rate methodologies for AC, ECS and EW service authorization.

    Additional resources

    CBSM – Alternative Care
    CBSM – Chore services

    CBSM – Elderly Waiver

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

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