Home care services.

IHS is available to people who meet the following criteria:

1. Live in their own home or their family’s home.
Note: The IHS provider cannot have any direct or indirect financial interest in the property or housing in which services are delivered. For more information, refer to CBSM – Requirements for a person’s own home.

2. Receive services through one of the following waivers:

• Brain Injury (BI).
• Community Access for Disability Inclusion (CADI).
• Community Alternative Care (CAC).
• Developmental Disabilities (DD).

Service options for IHS

The IHS service options available to a person are based on their age, living arrangement and the type of support and/or training they need.

Without training

This service option is provided to adults or children when they need support in at least one of the community living service categories.

With training

This service option is provided to adults when they need support and training in at least one of the community living service categories.

This option meets the habilitation requirement for the DD Waiver. For more information about the habilitation requirement, refer to CBSM – Habilitation.

With family training

This service option is designed for people who live with their family to provide training to the person and their family members. The training increases their capabilities to care for and maintain the person’s ability to live in the home.

This service option is provided to adults when the person and their family needs support and training in the family’s home in at least one of the community living service categories.

This service option is provided to children when either of the following is true:

• Person needs support and training in at least one of the community living service categories.
• Person and their family needs support and training in at least one of the community living service categories.

This option meets the habilitation requirement for the DD Waiver. For more information about the habilitation requirement, refer to CBSM – Habilitation.

Additional information

For additional information about these service options, refer to CBSM – Resource: Service options for IHS

IHS covers community living services in four categories:

• Community participation.
• Health, safety and wellness.
• Household management.
• Adaptive skills.

When a person receives IHS without training, they must receive support in at least one of the community living service categories. (Refer to the definition section for information about support.)

When a person receives IHS with training or IHS with family training, they must receive training in at least one of the community living service categories. They also may receive support in any of the community living service categories. (Refer to the definition section for information about training and support.)

Community participation

This category may include:

• Community mobility and pedestrian safety (e.g., safely getting in and around the community).
• Community resource use and access.
• Community safety and awareness.
• Informal support system and network development.
• Interpersonal communications skills.
• Leisure, recreation and socialization planning.
• Skill-building to meet transportation needs.

Health, safety and wellness

This category may include:

• Collaboration with the person to arrange health care (e.g., physical, mental, chemical), meaningful activities, social services, meetings and appointments.
• Cueing, guidance, supervision, training or instructional support to complete self-cares.
  Note: These activities cannot duplicate the use of eligible Medical Assistance (MA) state plan home care services; refer to CBSM – Home care overview.
• Health services support, as defined in Minn. Stat. §245D.05.
• Help for the person to activate and build resiliency factors. (e.g., whole health action management).
• Support for the person to design and meet individualized strategies to reach their health, safety and wellness goals.

Household management

This category may include:

1. Cueing, guidance, supervision, training or instructional support to complete routine household care and maintenance.

2. Household safety knowledge and skills.

3. Tenancy support and advocacy.

4. Training, assistance, support and/or guidance with:

• Budgeting and assistance to manage money.
• Cooking, meal-planning and nutrition.
• Healthy lifestyle skills and practices.
• Household chores, including minor household maintenance activities.
  Note: The person is responsible for the cost of the maintenance replacement items or products.
• Personal-needs purchasing.

Adaptive skills

This category may include:

• Crisis prevention skills.
• Implementation of positive support strategies.
• Problem-solving.
• Sensory/motor development involved in acquiring functional skills.
• Support strategies for self-sufficiency.
• Support and training to increase positive behavior, resulting in reduction or elimination of challenging behavior.