Adult Foster Care

Adult family foster care is a licensed, living arrangement that provides food, lodging, supervision, and household services. They may also provide personal care and medication assistance. Adult foster care providers may be licensed to serve up to four adults or five adults if all foster care residents are age 55 or older, have no serious or persistent mental illness nor any developmental disability.

There are two types of adult foster care:

Family Adult Foster Care is an adult foster care home licensed by the Minnesota Department of Human Services. It is the home of the license holder and the license holder is the primary caregiver.

Non-Family Adult Foster Care (Corporate Adult Foster Care)
is an adult foster care home licensed by the Minnesota Department of Human Services that does not meet the definition of Family Adult Foster Care because the license holder does not live in the home and is not the primary caregiver. Instead, trained and hired staff generally provide services.

The same foster care license requirements apply to both family and non-family homes.

Payment
Costs for room and board are met with client income such as Social Security Income, Supplemental Security Income, or other supplemental income support such as Group Residential Housing (GRH). GRH is available to help recipients pay for room and board costs when living in a licensed or registered setting.

The cost of adult foster care services (provision of supervision, assistance with personal care and medication) may be met with client income such as Social Security Income, Supplemental Security Income, and through other state and federal programs. These state and federal programs allow people who would otherwise be unable to afford care to receive services if they meet the program eligibility requirements.

In order to be paid for services from a waiver, the provider must have a contract with a county agency and be enrolled as a health care provider with the Minnesota Department of Human Services. County human service agencies set the rates for services provided to individuals who need public funding to help pay for services. The amount of payment a provider receives to care for an individual varies based on the resident's service needs.

Becoming a Provider

(1) Contact the adult foster care licensor in the county in which the home is located.

(2) Application for a license must be made on the application form issued by DHS and must be made in the county where the adult foster home is located.

(3) The applicant must be the individual or the authorized representative of the partnership, corporation, or government unit that will be the operator of the adult foster home.

(4) Separate licenses are required for each home, even if the residences are to be operated by the same operator.

(5) A Home Safety Checklist must be completed annually.

(6) Minnesota's Law for Building Safety Codes in Adult Foster Care homes must be met.

(7) A fire marshal must complete an inspection.

(8) An application for licensure is complete when the county adult foster care licensor submits all necessary forms and documentation to DHS and recommends that DHS issue a license.

(9) (Optional) If planning on serving individuals who need public funding to help pay for services, obtain a contract with the county human service or public health agency in the county in which the housing is located.


Adult Foster Care Licensing

Licensing Regulations for Rule 203

Other Rules or Laws

Depending on the type of clients being cared for in an adult foster care setting, other rules or laws may apply. For example, five elderly clients may be cared for in an adult foster care setting, but only four adult disabled clients may be cared for. If the clients are adult developmentally disabled persons, a Consolidated License must be obtained by the provider. If the provider does not live in the home and the clients are elderly, the adult foster care must register as Housing with Services and have staff train and work under either an Assisted Living Home Care Provider license or a Class A Home Care license.


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