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Minnesota Department of Human Services Community-Based Services Manual (CBSM)
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Adult companion services

Page posted: 10/1/03

Page reviewed: 9/30/16

Page updated: 4/27/17

Legal authority

Federally approved BI, CADI and EW waiver plans, Alternative Care (AC) program (Minn. Stat. §256B.0913), Minnesota Statutes, Chapter 245D, Minn. Stat. §144A.43 to 144A.484

Definition

Adult companion services: Non-medical care, supervision and socialization provided to a person age 18 or older.

Covered services

Adult companion services cover services that help a person work toward a therapeutic or community integration goal in his or her support plan.

Examples

The adult companion may:

  • • Attend a movie with the person to practice coping skills to manage his or her social anxiety
  • • Go with the person to a community event to reduce his or her social isolation
  • • Play a board game with the person to enhance his or her fine motor skills
  • • Provide verbal instructions or cues to the person to help him or her complete a task
  • • Assist or supervise the person with tasks such as laundry, light housekeeping, meal preparation and shopping (for more information, see the secondary information section).
  • Non-covered services

    Adult companion services do not cover:

  • • Activity fees (e.g. movie tickets)
  • • Assistance with activities of daily living (ADLs)
  • • Hands-on nursing care
  • • Services provided by people related to the person by blood, marriage or adoption
  • • Socialization that is for recreation or pleasure only.
  • Secondary information

    The adult companion may assist or supervise the person with tasks such as laundry, light housekeeping, meal preparation and shopping only while he or she helps the person work toward a therapeutic or community integration goal. For example, the companion may shop with the person to practice budgeting skills. The companion cannot perform these tasks as distinct services.

    Transportation

    AC and EW

    Under the AC program and EW, an adult companion provider who is also an MHCP-enrolled waiver/AC transportation provider can bill for both adult companion services and transportation (using the mileage rate) when they are provided on the same day. The provider may not bill adult companion services and transportation at the same time.

    BI and CADI

    Under the BI and CADI waivers, the adult companion service rate includes transportation costs. The lead agency cannot authorize transportation to supplement adult companion services.

    Provider standards and qualifications

    Adult companion is a DHS enrollment-required service.

    License requirements

    An adult companion provider 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
  • • Be an adult companion program under the Corporation for National and Community Service’s Senior Companion Program.
  • Exception

    An adult companion provider may be excluded from 245D licensure if they meet the requirements in Minn. Stat. §245A.03, subd. 2(1) or (2).

    Reporting

    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 (PDF).

    Additional AC and EW requirements

    Under the AC program and EW, a provider also must assure that each staff who delivers adult companion services:

  • • Can manage emergency and/or crisis situations and report them to the lead agency
  • • Can perform essential job functions as defined in the person’s support plan
  • • Can read, write, and follow written and verbal instructions
  • • Can understand and maintain confidentiality and data privacy
  • • Can work under intermittent supervision
  • • Has experience/training in homemaking and/or caring for people with cognitive, physical or other functional limitations
  • • Is in good physical and mental health.
  • An adult companion provider may require a person to pass a job-related physical examination before he or she delivers services.

    Authorization, rates and billing

    Below is program-specific authorization, rate and billing information for adult companion services. For more information, see Long-Term Services and Supports (LTSS) Service Rate Limits, DHS-3945 (PDF).

    AC and EW

    Under the AC program and EW, the lead agency authorizes adult companion services at the state-established, 15-minute rate.

    BI and CADI

    Under the BI and CADI waivers, adult companion services are framework services. The lead agency uses the Rate Management System (RMS) to determine rates. For more information, see CBSM – Rate Management System.

    Additional resources

    CBSM – BI, CAC, CADI and DD waiver general process and procedures
    CBSM – Waiver/AC service provider overview

    Rate Management System (RMS) User Manual

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