Legal authority

Federally approved BI, CAC, CADI, DD and EW waiver plans, Minn. Stat. §256B.0913, Minn. Stat. §256B.0922, Minn. Stat. Ch. 245D

Definition

Homemaker: Services that help a person manage general cleaning and household activities.

Eligibility

A person is eligible to receive homemaker services when either of the following is true:

Covered services

There are three types of homemaker services:

Cleaning

Homemaker cleaning services include home cleaning tasks exclusively, such as:

Homemaker cleaning also includes monitoring the person’s well-being while in the home, including home safety.

Home management

Homemaker home management providers deliver homemaker cleaning services and, while onsite, provide incidental assistance with home management activities as needed. However, homemaker cleaning must be the primary service provided.

Home management activities may include assistance with:

Homemaker home management also includes monitoring the person’s well-being while in the home, including home safety.

Assistance with ADLs

Homemaker assistance with ADLs providers deliver homemaker cleaning services and, while onsite, provide incidental assistance with ADLs as needed. However, homemaker cleaning must be the primary service provided.

Assistance with ADLs includes assistance with:

Homemaker assistance with ADLs also includes monitoring the person’s well-being while in the home, including home safety.

Non-covered services

Not covered within the service

Homemaker does not cover:

Services that cannot be authorized with homemaker

The lead agency cannot authorize services when:

Remote support

Homemaker home management can be delivered through remote support. Services delivered through remote support must meet all the requirements listed on CBSM – Remote support.

Limitations

A person receiving homemaker cleaning services is not required to be present for the provider to deliver the service. However, a person must be present for the provider to deliver homemaker home management and homemaker assistance with ADLs.

A person who receives integrated community supports (ICS) can only receive homemaker services if a different provider delivers the services.

Secondary information

Services under all waiver/AC programs must meet the requirements listed in the services section of CBSM – Waiver/AC programs overview.

Primary caregiver

AC, ECS and EW

Under AC, ECS and EW, the primary caregiver does not need to reside at the same address as the person who receives services.

BI, CAC, CADI and DD

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

Habilitation (DD Waiver only)

If a person chooses to have a parent or unpaid primary caregiver provide habilitation, the lead agency must:

Homemaker is not a habilitation service. For more information, refer to CBSM – Habilitation.

Provider standards and qualifications

Homemaker cleaning services are approval-option: direct-delivery services. For more information, refer to CBSM – Waiver/AC service provider overview.

License requirements

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

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

MCOs should follow their procedures for approving non-enrolled vendors. For additional information, contact the MCO.

Home management and assistance with ADLs

Homemaker home management and homemaker assistance with ADLs are DHS enrollment-required services. For more information, refer to CBSM –Waiver/AC service provider overview.

License requirements

Unless excluded, providers of either of these services must meet one of the following requirements:

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, refer to CBSM – Exclusions from 245D licensure.

Background study

To provide homemaker services, providers must have a background study. For more information, refer to CBSM – Waiver/AC service provider overview – Required DHS background studies for direct-contact services.

Reporting

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.

Authorization, rates and billing

The lead agency authorizes homemaker cleaning, home management and assistance with ADLs at the pre-determined, 15-minute rate. For more information, refer to Long-Term Services and Supports Service Rate Limits, DHS-3945 (PDF) and CBSM – Rate methodologies for AC, ECS and EW service authorization.