Community-Based Services Manual (CBSM)

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Community-Based Services Manual (CBSM)

CBSM Other Aging/DSD programs SILS

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Semi-independent living services (SILS)

Page posted: 3/13/06		Page reviewed: 6/17/19	Page updated: 5/4/22
Legal authority	Minn. Stat. Ch. 245D, Minn. Stat. §252.275
Definition	Semi-independent living services (SILS): Services needed by an adult with a developmental disability or related condition(s) to live successfully in the community.
Eligibility	A person is eligible to receive SILS if they meet all of the following criteria: · Is 18 years old or older · Has been determined to have a developmental disability or related condition · Is unable to function independently without SILS · Is not at risk of placement in an intermediate care facility for persons with developmental disabilities (ICF/DD). If the person uses home and community-based waiver services, they are not eligible for SILS.
Covered services	The goal of SILS is to support people in ways that enable them to achieve personally desired outcomes and lead self-directed lives. SILS include training and assistance to: · Engage in activities that make it possible for an adult with developmental disabilities or related condition(s) to live in the community · Exercise social, recreation and transportation skills, including appropriate social behavior · Learn and exercise the rights and responsibilities of community living (i.e., self-advocacy training) · Maintain personal appearance and hygiene · Manage money, prepare meals and shop · Obtain and maintain a home · Perform first aid and obtain assistance in an emergency · Self-administer medication · Use the phone and other utilities. Under SILS, a person may receive a one-time housing allowance of up to $1,500. This allowance may cover some of the costs related to damage or security deposits for housing rentals, utility deposits, connection costs, household furnishings and other items necessary to enable the person to secure a home in which to receive SILS.
Non-covered services	A person may not receive SILS if they permanently reside in any of the following: · ICF/DD · Institution · Nursing facility. SILS may not be used to pay for training, services or items that are available for free in the community. SILS also may not duplicate resources available from lead agencies or available at no cost from non-profit organizations.
Provision of SILS	SILS staff may provide supported employment in community work environment settings. The methods, materials and settings used to provide SILS must be designed to: · Increase the person’s independence by teaching skills so they may perform tasks and activities without dependence on caregivers · Increase the person’s opportunities to interact with people without disabilities who are not paid caregivers · Provide daily schedules, routines, environments and interactions similar to those of people without disabilities of the same age · Provide skill training in an environment where the person will use the skill · Support development of decision-making skills and informed choices in all aspects of daily living, including service provider selection, goals and methods, location and decor of residence, roommates, daily routines, leisure activities and personal possessions.
Funding	The funding source for SILS is 85% state and 15% lead agency. Each lead agency has a guaranteed floor of $1,000. Lead agencies may pay service providers or SILS workers directly, or they may issue vouchers or cash grants so a person can pay service providers
Short-term medical stays	If a person receives SILS and enters a nursing facility for short-term medical rehabilitation, they may continue to receive SILS to maintain life in the community. For example, when recovering from a surgical procedure, a person could receive SILS to process mail, pay bills or keep housing payments current.
Provider standards and qualifications	The lead agency may contract with licensed or unlicensed SILS providers. Licensed Unless excluded from licensure under Minn. Stat. §245A.03, subd. 2 (1) and (2), the SILS provider must have a license under Minn. Stat. Ch. 245D. 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. Unlicensed A SILS provider may be excluded from 245D licensure if they meet the requirements in Minn. Stat. §245A.03, subd. 2(1) or (2). The lead agency determines qualifications for the individual, unlicensed SILS worker. A friend or neighbor may receive payment to deliver SILS without a license if both of the following conditions are met: · Lead agency is satisfied with the prospective provider's capability · Person on SILS identifies the friend or neighbor to provide SILS.
Lead agency responsibilities	The lead agency is responsible to: · Authorize SILS · Determine the amount, type, cost and expected outcomes of SILS based on the person’s assessed needs · Document SILS in the person’s support plan when authorized · Follow lead agency procedures.
Additional resources	CBSM – Self-advocacy training and support DHS – College of Direct Support DHS – Licensing for home and community-based services – 245D providers DHS – MHCP enrolled provider training

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