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Independent living skills (ILS) therapies

Page posted: 10/1/03

Page reviewed: 1/22/18

Page updated: 1/22/18

Legal authority

Federally approved BI Waiver Plan


Independent living skills (ILS) therapies: Art, music or recreational therapies with specific therapeutic goals and outcomes.

Covered services

Services cover the following therapies:

  • • Art
  • • Music
  • • Recreational.
  • ILS therapies are:

  • • Directed toward acquiring, maintaining or improving a person’s community living skills
  • • Not diversionary
  • • Specified in the person’s support plan.
  • Non-covered services

    ILS therapies do not cover services that duplicate other Minnesota state plan or waiver services.


    The person may receive ILS therapies provided in his/her home or in the community.

    Provider standards and qualifications

    ILS therapies are DHS enrollment-required services. For more information, see CBSM – Waiver/AC service provider overview.

    Additional requirements

    Art therapists must:

  • • Be a graduate from a master's program in art therapy or a related degree plus 21 additional graduate-level art therapy credits
  • • Complete an internship of 700 hours
  • • Have a minimum of 100 hours of supervised direct contact hours
  • • Register with the National Association for Art Therapists.
  • Music therapists must:

  • • Be a graduate from an institution accredited by the National Association for Music Therapy or the American Association for Music Therapy
  • • Pass the National Association for Music Therapy board exam
  • • Hold a current board certification as a music therapist through the Certification Board for Music Therapists.
  • Recreational specialists must:

  • • Be a graduate from a baccalaureate program
  • • Complete an internship of 360 hours under the supervision of a certified therapeutic recreation specialist
  • • Pass the National Council for Therapeutic Recreation Certification (NCTRC) exam
  • • Hold a current Therapeutic Recreation Specialist certification through the National Council for Therapeutic Recreation Certification.
  • Authorization, rates and billing

    The lead agency authorizes ILS therapies at the market rate. For more information, see 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 – ILS training

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