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In-Home Support for Individuals

Individualized home supports are available for people in their own home (see CBSM – Requirements for a person’s own home) and on one of the following waivers: Brain Injury (BI), Community Alternative Care (CAC), and Community Access for Disability Inclusion (CADI).

man with physical disability

Community Living Service

Individualized home supports require a person receives training in one or more community living service categories. In addition to the training requirement, individualized home supports may provide support in any of the community living service categories.

The community living service categories are:

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

Community Participation

This community living service category may include:

  • Community mobility and pedestrian safety (e.g., safely getting in and around the community)
  • Community resource utilization 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 community living service 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 (Cannot duplicate use of eligible MA state plan home care services. See 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 in designing and meeting individualized strategies to reach health, safety, and wellness goals

Household Management

This community living service category may include:

  • Cueing, guidance, supervision, training, or instructional support to complete routine household cares and maintenance
  • Household safety knowledge and skills
  • Tenancy support and advocacy

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 (the cost of the maintenance replacement item[s] or product[s] is the responsibility of the person)
  • Personal needs purchasing
nurse with patient

Adaptive Skills

This community living service 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/training to increase positive behavior resulting in the reduction or elimination of maladaptive behavior

Non-Covered Services

If a person receives individualized home supports, he/she cannot also receive:

  • Adult foster care
  • Customized living (24-hour)
  • Customized living
  • Independent living skills (ILS) training (also see secondary information section)
  • Residential care

Individualized home supports cannot be delivered as:

  • Supervision services during the person’s primary sleeping hours (Support during these hours can be through another service [e.g., night supervision technology, 24-hour emergency assistance])
  • 24-hour on-sight supervision service
  • Individualized home supports do not cover services that duplicate other Minnesota state plan or waiver services

The individualized home supports service provider cannot have any direct or indirect financial interest in the property or housing in which services are delivered.

Distinguishing IHS From ILS

If a person has a need for training only, independent living skills (ILS) training is the appropriate service.

If a person has a need for both training and support (i.e., direct supervision, cueing, maintenance, guidance, instruction, incidental assistance with activities of daily living, or assistance with coordination of community living activities), individualized home supports is the appropriate service.

Service Delivery Methods

A person may receive direct support in person or remotely when it meets the criteria of the remote support policy for the delivery of individualized home supports. In-person support must be scheduled a minimum of once a week. A person may receive in-person support and remote support on the same day. For more information about remote support, see CBSM – Remote support – Individualized home supports and supported living services for adults in their own home.

Documentation

There must be clear documentation of service needs and outcomes identified in the coordinated services and supports plan (CSSP).

The individualized home supports service provider is responsible to provide written reports to the case manager and the person who receives services at a minimum of once a year or the frequency established in the support plan.

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