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Minnesota Department of Human Services Community-Based Services Manual (CBSM)
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Independent living skills training

Page posted: 10/1/03

Page reviewed: 5/29/15

Page updated: 5/26/17

Legal authority

Federally approved BI, CAC and CADI waiver plans, Minn. Stat. §245D.03

Definition

Independent living skills (ILS) training: Services that develop, maintain and improve the community-living skills of a person.

Covered services

ILS training is direct training from a staff person to address the identified skill development needs of a person in the areas of:

  • • Communication skills
  • • Community living and mobility
  • • Interpersonal skills
  • • Reduction/elimination of maladaptive behavior
  • • Self-care
  • • Sensory/motor development involved in acquiring functional skills.
  • Assistance and supervision may occur during the delivery of ILS training services. However, training must be the primary service provided.

    Non-covered services

    ILS training does not cover the following:

  • • ILS training provided in licensed settings that are not the person’s home
  • • Overnight supervision
  • • Services that duplicate other Minnesota state plan or waiver services.
  • Settings

    ILS training must be provided in either the person’s home or community settings typically used by the general public.

    The following are examples of ILS training provided in the person’s home and/or community setting:

  • • Learning how to cook in the person’s kitchen
  • • Learning how to deposit money by going to a bank or ATM
  • • Using the bus system to learning how to ride a bus.
  • Outcomes

    Design the methods, materials and settings used to provide ILS training to meet the following outcomes:

    1. Increase the person’s independence by teaching skills so tasks and activities may be performed with decreased dependence on caregivers
    2. Increase the person’s opportunities to interact with people without disabilities who are not paid caregivers
    3. Provide daily schedules, routines, environments and interactions similar to those of people without disabilities of the same chronological age
    4. Provide skill training in an environment where the skill will be used
    5. Support development of decision-making skills and informed choices in all aspects of daily living, including selection of service providers, goals and methods, location and decor of residence, roommates, daily routines, leisure activities and personal possessions.

    Secondary information

    The lead agency may authorize ILS training when the person’s support plan documents the need for service and identifies expected outcomes.

    The provider is responsible to:

  • • Document review of progress toward outcomes at least quarterly
  • • Provide written reports to the case manager and person who receives services at a minimum of once a year or as established in the support plan.
  • Provider standards and qualifications

    ILS training is a DHS enrollment-required service. For more information, see CBSM – Waiver/AC service provider overview.

    License requirement

    An ILS training provider must have a license under Minnesota Statutes, Chapter 245D as an intensive support services provider. A 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 (PDF).

    Authorization, rates and billing

    ILS training is a framework service. The lead agency uses the Rate Management System (RMS) to determine rates. For more information, see CBSM – Rate Management System and Long-Term Services and Supports (LTSS) Service Rate Limits, DHS-3945 (PDF).

    Additional resources

    CBSM – BI, CAC, CADI and DD waivers general process and procedures
    CBSM – Independent Living Skills (ILS) BI therapies

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