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In-Home Support for Individuals

Individualized home supports cover community living services in four categories:

Community participation
Health, safety and wellness
Household management
Adaptive skills

When a person receives individualized home supports without training, they must receive support in at least one of the community living service categories.
When a person receives individualized home supports with training or individualized home supports 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.

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: Cannot duplicate use of eligible Medical Assistance [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 to design and meet individualized strategies to reach their health, safety and wellness goals.

Household Management

This 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 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 the reduction or elimination of maladaptive behavior

Individualized Home Supports (IHS)

Individualized Home Supports (IHS) is a service for people who live in their own home or a family home and provides support and/or training in the home and community 

IHS without Training:

Provides supports to adults or children in the home and community. Supports include assisting with community participation, assisting with health, safety, and wellness, general household management, and adaptive skills.

IHS with Training:

Provides supports and training to adults in the home and community. Supports include all of the basic supports as a part of IHS without Training. Persons with this service will also require skills development training to better support their independence.

IHS with Family Training:

Provides supports and training to adults and children who live with their family. Training may be provided both to the person and the family in order to increase the capability of the person to remain in the family home and/or live more independently.

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