— 245D Waivered Services

Specialized support, individualized to you.

Minnesota's 245D licensure covers a range of home and community-based services for people with disabilities and older adults. HAAS provides seven of them — all with the same cultural-fit philosophy that drives our PCA/CFSS work.

— Individualized Community Living Supports

ICLS

ICLS is in-home support designed for older adults — typically delivered through Minnesota's Alternative Care or Elderly Waiver programs. The focus is on helping people stay independent in their homes and connected to their communities.

Who it’s for

Adults aged 65+ on Alternative Care or Elderly Waiver. Some younger adults may also qualify under specific waiver criteria.

What’s included

  • Assistance with daily living activities (bathing, dressing, mobility, meals)
  • Light housekeeping and meal preparation
  • Community integration support (transportation, errands, appointments)
  • Skill building for independent living tasks
  • Companionship and engagement support
Request ICLS →
— Individualized Home Supports — with training

IHS with Training

IHS with Training combines direct support with active skill-building. Caregivers don't just help — they teach, so the person being supported can develop more independence in community life, health, safety, and adaptive skills.

Who it’s for

Individuals with disabilities on CADI, BI, CAC, or DD waivers who would benefit from learning new skills alongside support.

What’s included

  • Hands-on assistance with daily activities
  • Active skill-building in community participation, hygiene, communication, money management
  • Health and safety training tailored to the individual
  • Adaptive skill development for independent living
  • Goal tracking and progress documentation per the support plan
Request IHS with Training →
— Individualized Home Supports — without training

IHS without Training

IHS without Training provides ongoing direct support — no skill-building component. It's the right fit for people who need consistent assistance rather than active training.

Who it’s for

Individuals on CADI, BI, CAC, or DD waivers whose support plan doesn't include a training component.

What’s included

  • Assistance with activities of daily living
  • Health and safety monitoring
  • Support with community participation
  • Ongoing companionship and engagement
  • Coordination with other services in the support plan
Request IHS without Training →
— Overnight care

Night Supervision

Overnight assistance with awake or asleep staff — providing safety, monitoring, and care through the night. Can be combined with daytime services or stand on its own.

Who it’s for

Individuals who need overnight presence for safety reasons. Staffing model (awake vs. asleep) is determined by your care plan.

What’s included

  • Awake or asleep overnight staff coverage
  • Safety monitoring (fall risk, wandering, medical concerns)
  • Assistance with toileting, repositioning, medication reminders
  • Response to emergencies during overnight hours
  • Coordination with daytime caregivers and family
Request Night Supervision →
— 24-Hour Emergency Services

24-Hour Emergency Services

Around-the-clock availability for crisis response and safety planning. This service typically integrates with other services in a care plan — providing the safety net that makes other supports work.

Who it’s for

Individuals whose care plan calls for 24-hour availability of emergency response.

What’s included

  • On-call staff coverage 24/7
  • Crisis response and de-escalation
  • Safety planning and coordination with emergency services
  • Documentation and follow-up after incidents
  • Family and case-manager communication during events
Request 24-Hour Emergency Services →
— Household support

Homemaker

Cleaning, laundry, meal prep, and household maintenance — keeping the home comfortable, safe, and organized. Can be standalone or combined with other services.

Who it’s for

Anyone who needs help maintaining their household but doesn't necessarily need personal care. Common addition to PCA/CFSS or 245D services.

What’s included

  • General housekeeping (vacuuming, dusting, kitchen and bathroom cleaning)
  • Laundry and linen changes
  • Meal preparation
  • Grocery shopping and errand support (when authorized)
  • Light home maintenance and organization
Request Homemaker →
— Short-term relief

Respite

Short-term in-home care that gives primary caregivers (usually family members) a break — to rest, work, attend appointments, or handle their own needs. Can be planned or emergency.

Who it’s for

Anyone whose care is normally provided by an unpaid family caregiver. Available through CADI, BI, CAC, DD, and other waivers.

What’s included

  • Planned respite for scheduled breaks
  • Emergency respite when something unexpected comes up
  • All ADL and IADL support during the respite period
  • Communication with the primary caregiver before, during, and after
  • Continuity with the regular care plan
Request Respite →
— Waiver mapping

Which waiver covers what?

Most 245D services are funded through Minnesota waiver programs. Here’s a high-level map. The exact services covered for any individual depend on their specific support plan — these are general groupings, not a guarantee of eligibility.

EW
Elderly Waiver
Often covers: ICLS, Homemaker, Respite, Night Supervision
AC
Alternative Care
Often covers: ICLS, Homemaker, Respite
CADI
Community Access for Disability Inclusion
Often covers: IHS (w/ or w/o training), Night Supervision, Emergency, Homemaker, Respite
BI
Brain Injury
Often covers: IHS (w/ or w/o training), Night Supervision, Emergency, Homemaker, Respite
CAC
Community Alternative Care
Often covers: IHS (w/ or w/o training), Night Supervision, Emergency, Homemaker, Respite
DD
Developmental Disabilities
Often covers: IHS (w/ or w/o training), Night Supervision, Emergency, Homemaker, Respite

Not sure about your waiver? Get in touch and we’ll help you sort it out alongside your case manager.

Find the right support.

Tell us about who needs care and we'll help you map services to your waiver and your needs.

Call (651) 756-8492Request care →