- Personal Care Choice
- FMS (CDCS/CSG)
- 245D Waivered Programs
- Home Health Care
- Assisted Living
- Mental Health
PCA Choice
PCA Choice services are available to both children and adults with disabilities, chronic diseases, behavioral diagnoses and mental illnesses who need assistance with personal care in their home. These services are funded through government health care programs to help people who are unable to fully care for themselves, enabling them to stay in their homes rather than institutional settings or hospitals. With PCA Choice, clients independently recruit, hire and train the PCAs who provide their care.
Financial Management Services
Financial Management Services (FMS) enable people who are on a waiver or looking for an alternative to the Personal Care Assistance program to have optimum control over their program funds through the Consumer Directed Community Supports (CDCS) or Consumer Support Grant (CSG) programs. FMS enables people to create and manage their own budget plan, hire their own staff, and choose which services they receive.
Waivered Programs
Accra is a Basic 245D licensed provider. With each 245D waivered service, the person or family selects a trusted, qualified worker. Accra then assigns a 245D Service Coordinator to work with the client and their county case manager to set up and administer Basic 245D Waivered Services, while ensuring that all workers are properly trained.
Home Health Care Services
Accra offers medical and health-related services and assistance with day-to-day activities in the home, designed to maintain the safety and security of the client in the community. Accra primarily provides Home Health Care services to people requiring continuing care for chronic needs. These services are also sometimes offered on a short-term basis to people moving from a hospital or rehabilitation center back into their home.
Assisted Living
Accra’s High Street House in Lake City offers a quaint assisted living community with comfortable apartments. Each resident at High Street House completes a detailed interview and assessment with a registered nurse to create a personalized plan, tailored for their specific needs, such as bathing, treatments and medication assistance. The High Street House is located in a quiet residential setting – just blocks from downtown Lake City – close to churches, parks and beautiful Lake Pepin.
Mental Health Services
Accra provides mental health counseling and adult rehabilitative mental health services (ARMHS) to residents of St. Louis County. ARMHS services help clients manage the symptoms of mental illness, develop independent living skills and lead a more fulfilling life at home. Supervised by mental health professionals, ARMHS practitioners teach clients how to connect with and leverage community resources and mental health services.

Champions of Homecare
We provide support to children, adolescents, adults and families who need help in their homes for a loved one with a disability or an older adult. The homecare services we provide support the independence of our clients. We can help you navigate the different choices available to you. We offer these services throughout Minnesota in all 87 counties.
We are the largest provider of homecare services in Minnesota, proudly serving more than 9,000 clients across the state. Our mission is to improve lives by providing individualized homecare services and support to people living at home. We employ more than 8,000 people in both direct care positions and administrative staff.
There are heroes among us
You may know them. They are members of the Accra family — our clients and their caregivers.