Waivered Services: - Available to persons with a variety of disabilities - Waivered services are flexible and can be provided in a variety of settings - CADI (Community Alternatives for Persons with Disabilities) Waiver is available to adults and children with disabilities who need a nursing facility level of care: - TBIW (Traumatic Brain Injury Waiver) is available to adults and children who have had severe brain injuries from an accident, or due to stroke, heart attack or disease - MR/RC (Mental Retardation and Related Conditions) Waiver provides supports to adults and children with developmental disabilities - EW (Elderly Waiver) provides supports to seniors at home or in adult foster care who would otherwise have to live in a nursing home - AC (Alternative Care) Waiver provides supports to seniors at home or in adult foster care who would otherwise have to live in a nursing home, who because of their assets don't qualify for traditional Medical Assistance programs. Waivers pay for services such as personal care assistants, independent living skills counseling, homemaking, respite care, in-home family support, and other services Personal Care Attendants: - Provide assistance with daily living activities such as hygiene, grooming, dressing, taking medications, simple housekeeping, and other tasks - PCAs also provide behavioral monitoring and supervision to help clients with behavior problems - PCAs can help clients with FAS to live in a variety of settings, including foster care, their own homes and apartments, and family homes Other services: - In-home family supports and respite RSI provides support to caregivers and families of people with disabilities - Respite services gives caregivers and families a break for a few hours to a few days at a time. Respite can be provided in or outside of the family home - In-Home family supports services helps adults and children with daily life management skills, such as self-care, socialization, sensory/motor development, behavior management, community living and healthy recreation. - Respite and in-home family supports are waivered services programs - Adults and children who do not qualify for the MR/RC waiver may be eligible to receive similar kinds of help through the CADI or PCA programs

Waivered Services: - Available to persons with a variety of disabilities - Waivered services are flexible and can be provided in a variety of settings - CADI (Community Alternatives for Persons with Disabilities) Waiver is available to adults and children with disabilities who need a nursing facility level of care: - TBIW (Traumatic Brain Injury Waiver) is available to adults and children who have had severe brain injuries from an accident, or due to stroke, heart attack or disease - MR/RC (Mental Retardation and Related Conditions) Waiver provides supports to adults and children with developmental disabilities - EW (Elderly Waiver) provides supports to seniors at home or in adult foster care who would otherwise have to live in a nursing home - AC (Alternative Care) Waiver provides supports to seniors at home or in adult foster care who would otherwise have to live in a nursing home, who because of their assets don't qualify for traditional Medical Assistance programs. Waivers pay for services such as personal care assistants, independent living skills counseling, homemaking, respite care, in-home family support, and other services Personal Care Attendants: - Provide assistance with daily living activities such as hygiene, grooming, dressing, taking medications, simple housekeeping, and other tasks - PCAs also provide behavioral monitoring and supervision to help clients with behavior problems - PCAs can help clients with FAS to live in a variety of settings, including foster care, their own homes and apartments, and family homes Other services: - In-home family supports and respite RSI provides support to caregivers and families of people with disabilities - Respite services gives caregivers and families a break for a few hours to a few days at a time. Respite can be provided in or outside of the family home - In-Home family supports services helps adults and children with daily life management skills, such as self-care, socialization, sensory/motor development, behavior management, community living and healthy recreation. - Respite and in-home family supports are waivered services programs - Adults and children who do not qualify for the MR/RC waiver may be eligible to receive similar kinds of help through the CADI or PCA programs

A Brighter Living Experience (ABLE) provides in-home support services for children with special needs and their families while the child continues to live at home. Services may include: - Consultation and support to the caregiver - Respite care in the child's home - Supervision and training in self-care - Socialization - Interpersonal skills and communication development - Development of independent living skills

Community-Based Residential Homes - Advocacy - Community involvement - Nursing and support therapies - Respite support Family Support Services-FSS Offers opportunities for greater personal growth for people with disabilities in their homes and in the community through: - Community involvement - Lifetime skills training - Personal needs training - Recreation/leisure activities - Social activities In-Home Support Program For individuals who have a disability and still live in their family's home or in foster care. Individuals receiving services have 1:1 staffing. Flexible based on individual needs. Services are provided in the family home, at a Hiawatha location or elsewhere in the community. Activities are customized to the individual's wants and needs. Examples of activities are similar to those of the LEEP program, but may also include: - Assistance in getting up and ready for school/work - Assistance with homework - Participation in evening or weekend leisure activities Life Enrichment and Exploration Program - LEEP For older school aged youth and adults who have disabilities. Programs runs Monday - Friday after school, non-school days, after day programs and during the summer. Provides a supervised environment with structured learning and recreational activities. Activities may include: - Crafts and cooking - Domestic training - Personal safety training - Social skills training - Summer field trips Respite Offers temporary care within the community based homes for individuals whose caregivers may need a helping hand. This is offered to individuals who are currently living at home but on occasion the families may need a break. This offers families the opportunity to spend some quality time with their other children, covers assistance in family emergencies, gives families an opportunity to travel for work or leisure, and assures the families that their child is safe and is enjoying their time away also.

TBI Metro Services helps people with brain injury lead fuller, more productive lives. Services are customized for each individual to ensure success. Services include: - Community Integration and Inclusion: A structured day program, combining on-site skill development with community experiences. This service encourages clients to become more independent and increases social development. - Vocational Services (VS): Preparing people to secure and maintain competitive community employment including situational assessments and testing, employment preparation, job development and placement and employer education and follow up.

Support to persons living in their own homes or at MSOCS operated homes throughout Minnesota. All sites are licensed and follow adult foster care rules. Services are individually based. Training and assistance in: - Community integration - Financial management - Nutrition, meal planning and preparation - Obtaining and maintaining a home - Personal appearance and hygiene - Recreational skills - Self-administration of medication - Shopping - Social skills including appropriate social behavior - Transportation skills - Using phone and other utilities

Depending on client needs, will provide services including: - Attending community activities - Budgeting and Finance - Exercise and fitness programs - Following medical recommendations - Grocery shopping, cooking, and making nutritional choices - Personal cares - Social skills and maintaining healthy relationships - Using public transportation

Services include: - Residential supports and services - Adult foster care - Supported living services - 24-hour emergency assistance - Respite care in- and out-of-home - Adult companion services - In-home family support - In-home independent living skills training - In-home supported living services for adults

Services include: - Residential supports and services - Adult foster care - Supported living services - 24-hour emergency assistance - Respite care in- and out-of-home - Adult companion services - In-home family support - In-home independent living skills training - In-home supported living services for adults

A Brighter Living Experience (ABLE) provides in-home support services for children with special needs and their families while the child continues to live at home. Services may include: - Consultation and support to the caregiver - Respite care in the child's home - Supervision and training in self-care - Socialization - Interpersonal skills and communication development - Development of independent living skills

TBI Metro Services helps people with brain injury lead fuller, more productive lives. Services are customized for each individual to ensure success. Services include: - Community Integration and Inclusion: A structured day program, combining on-site skill development with community experiences. This service encourages clients to become more independent and increases social development. - Vocational Services (VS): Preparing people to secure and maintain competitive community employment including situational assessments and testing, employment preparation, job development and placement and employer education and follow up.

Provides in-home or out-of-home community based services including: - 24-hour emergency assistance - Adult companion services - Homemaker services - Individual community living supports - Night supervision - Respite care

Services include: - Residential supports and services - Adult foster care - Supported living services - 24-hour emergency assistance - Respite care in- and out-of-home - Adult companion services - In-home family support - In-home independent living skills training - In-home supported living services for adults

Provides individualized supportive services to children and adults with intellectual and developmental disabilities, which are specifically tailored to support their needs in the home, apartment or other community living situation. These services reinforce personal responsibility and include activities such as daily living skills (getting dressed, taking medication, preparing meals, job coaching, residential supports, and managing money) and developing interpersonal and communication skills needed for community integration. Services may include: - Day program employment - Help making decisions - Skill development ?- Support with doctor's appointments

Individualized Home Supports with Family Training - Services for people who live in their family home that provide support and/or training in the following community living service categories: - Community participation - Health, safety, and wellness - Household management - Adaptive skills *Designed to provide training to the person as well as their family members Individualized Home Supports with Training - Services for people who live in their own home or family home that provide support and/or training in the following community living service categories: - Community participation - Health, safety, and wellness - Household management - Adaptive skills - Formal person-centered outcomes - Completion of skill assessments *Designed for adults in need of support and training in one of the above-mentioned service categories. Individualized Home Supports without Training - Services for people who live in their own home or family home that provide support in the following community living service categories: - Community participation - Health, safety, and wellness - Household management - Adaptive skills - Complimentary support plan (SP) - Informal and formal person-centered outcomes *Designed for adults or children who require support in one of the above-mentioned service categories. Specialist Services - Provision services that extend past the scope and duration of available waiver and state plan services including: - Assessments/individual program plan and program development - Training and supervision of staff - Monitoring of specific program implementation Respite - Short-term care services provided to a person when their primary caregiver is absent or needs relief. Services include: - In-home respite: Service is provided to a person in their home or the family home. - Out-of-home respite: Service is provided to a person in a licensed or unlicensed setting that is not the person's home. - Respite level A: Active, out in the community - Respite level B: Stay at home and local outings only - Respite level C: Sleep in - Respite level D: 24-hour period Homemaker Services - Services that help a person manage general cleaning and household activities. Services include: - Cleaning: light housekeeping tasks, laundry services - Home management: cleaning, transportation arrangement, meal preparation, shopping for food, and household items - Assistance with ADLs: cleaning, assistance with ADLs (ambulating, bathing, dressing, eating, grooming, toileting) *Training is not covered under this service. To receive homemaker services, homemaker cleaning must be the primary service provided. County-Funded Semi-Independent Living Services (SILS) - Services needed to maintain and improve an adult's capacity to live in the community. Supports people in ways that enable them to achieve personally desired outcomes and lead self-directed lives including: - Money management - Meal preparation - Shopping - Obtaining and maintaining a home - Self administration of medication - Formal skill building

Services include: - Residential supports and services - Adult foster care - Supported living services - 24-hour emergency assistance - Respite care in- and out-of-home - Adult companion services - In-home family support - In-home independent living skills training - In-home supported living services for adults

Provides basic and in home support services for older adults and people with disabilities in their homes or in a community setting to ensure the health and safety of the person and maintain their independence within the community. Basic Support Services - Individual community living supports (ILCS): For people who need reminders, cues intermittent/moderate supervision, or physical assistance to remain in their own homes. - 24-hour emergency assistance: On-call counseling and problem-solving and/or immediate response for assistance at a person's home due to a health/personal emergency. - Companion services: Non-medical care, supervision and socialization to a person age 18 or older. - Night supervision: Provides overnight assistance and monitoring by an awake staff in the person's home. - Respite care services: Short-term care due to the absence or need for relief of the family member(s) or primary caregiver normally providing the care. Intensive Support Services - Positive support services: Services to increase positive behavior and decrease or eliminate severe, challenging behavior. - Specialist services: Services designed to promote staff and caregiver competency to meet a person's needs in eligible areas. - Independent living skills training: Services that develop, maintain and improve the community-living skills of a person. - Semi-independent living skills: Services needed by an adult with a developmental disability or related condition(s) to live successfully in the community. - Residential-based habilitation: Including in-home family support and supported living services for adults in their own home: Supported living services provided in a licensed site, including a foster care home, a community residential setting, or a supervised living facility.

Personal and daily living skill development for people living with developmental disabilities and brain injuries Skill development in the areas of: - Community integration - Financial management - Home living - Meal planning and preparation - Recreational skills - Self care - Social skills - Utilization of transportation

Provides in- and out-of-home based services and supports, including: - Adult companion services - Adult day programs - Homemaker services - Independent living skills training - Personal care assistant services - Respite care - Semi-independent living skills - Supported living services for adults - 24/7 supervision and emergency assistance

Provides in-home or out-of-home community-based services including: - 24 hour emergency assistance - Adult companion services - Homemaker services - Individual community living support - Individualized home support - Night supervision - Personal support - Respite care

Waivered Services: - Available to persons with a variety of disabilities - Waivered services are flexible and can be provided in a variety of settings - CADI (Community Alternatives for Persons with Disabilities) Waiver is available to adults and children with disabilities who need a nursing facility level of care: - TBIW (Traumatic Brain Injury Waiver) is available to adults and children who have had severe brain injuries from an accident, or due to stroke, heart attack or disease - MR/RC (Mental Retardation and Related Conditions) Waiver provides supports to adults and children with developmental disabilities - EW (Elderly Waiver) provides supports to seniors at home or in adult foster care who would otherwise have to live in a nursing home - AC (Alternative Care) Waiver provides supports to seniors at home or in adult foster care who would otherwise have to live in a nursing home, who because of their assets don't qualify for traditional Medical Assistance programs. Waivers pay for services such as personal care assistants, independent living skills counseling, homemaking, respite care, in-home family support, and other services Personal Care Attendants: - Provide assistance with daily living activities such as hygiene, grooming, dressing, taking medications, simple housekeeping, and other tasks - PCAs also provide behavioral monitoring and supervision to help clients with behavior problems - PCAs can help clients with FAS to live in a variety of settings, including foster care, their own homes and apartments, and family homes Other services: - In-home family supports and respite RSI provides support to caregivers and families of people with disabilities - Respite services gives caregivers and families a break for a few hours to a few days at a time. Respite can be provided in or outside of the family home - In-Home family supports services helps adults and children with daily life management skills, such as self-care, socialization, sensory/motor development, behavior management, community living and healthy recreation. - Respite and in-home family supports are waivered services programs - Adults and children who do not qualify for the MR/RC waiver may be eligible to receive similar kinds of help through the CADI or PCA programs

Services include: - Residential supports and services - Adult foster care - Supported living services - 24-hour emergency assistance - Respite care in- and out-of-home - Adult companion services - In-home family support - In-home independent living skills training - In-home supported living services for adults

Community Living Specialists meet with clients one-on-one in their homes to provide the training and support they need to live as independently as possible. This service can be customized to meet individual needs and may include: - Employment search and job skills training - Finance/budget management - Housing search - Independent living skills - Meal preparation - Needs assessment and planning - Regular telephone check ins - Socialization training

Community-Based Residential Homes - Advocacy - Community involvement - Nursing and support therapies - Respite support Family Support Services-FSS Offers opportunities for greater personal growth for people with disabilities in their homes and in the community through: - Community involvement - Lifetime skills training - Personal needs training - Recreation/leisure activities - Social activities In-Home Support Program For individuals who have a disability and still live in their family's home or in foster care. Individuals receiving services have 1:1 staffing. Flexible based on individual needs. Services are provided in the family home, at a Hiawatha location or elsewhere in the community. Activities are customized to the individual's wants and needs. Examples of activities are similar to those of the LEEP program, but may also include: - Assistance in getting up and ready for school/work - Assistance with homework - Participation in evening or weekend leisure activities Life Enrichment and Exploration Program - LEEP For older school aged youth and adults who have disabilities. Programs runs Monday - Friday after school, non-school days, after day programs and during the summer. Provides a supervised environment with structured learning and recreational activities. Activities may include: - Crafts and cooking - Domestic training - Personal safety training - Social skills training - Summer field trips Respite Offers temporary care within the community based homes for individuals whose caregivers may need a helping hand. This is offered to individuals who are currently living at home but on occasion the families may need a break. This offers families the opportunity to spend some quality time with their other children, covers assistance in family emergencies, gives families an opportunity to travel for work or leisure, and assures the families that their child is safe and is enjoying their time away also.