245D Waivered Services

Accra is a Basic 245D licensed provider of Individualized Home Supports without Training, Respite, Homemaker and Night Supervision Services

SERVICE OVERVIEW

245D Waivered Services

Accra is a 245D licensed provider of respite, homemaker, Individual Community Living Support (ICLS) services, Individual Home Supports (IHS) without training, IHS with training, and night supervision services. For each 245D service, clients select a trusted, qualified worker suited for their needs, while for IHS with training, a qualified staff is matched to the client to meet their needs. In all services, an assigned 245D Accra Service Coordinator will work with the client and county case manager to set up and administer 245D Waivered Services.

Accra also administers Caregiver Living Expenses, which provide a reimbursement of certain expenses, such as rent and food, incurred by an unrelated caregiver who is living in the same household as an individual receiving waivered services and providing approved services.

Look through our program descriptions below to discover all of the ways Accra is helping Minnesotans live full lives:

Service Overview

Individualized Home Supports Without Training

Individualized Home Supports Without Training services provide support, assistance and supervision to adults or children who live in their own homes. A staff person provides direct supervision, cueing, guidance, instruction, assistance with activities of daily living, or assistance with coordinating and attending community living activities. Individualized Home Supports Without Training services can be provided in the person’s own home or community.

Individualized Home Supports Without Training was created through the State of Minnesota Waiver Reimagine project, and it combines the previous services of Personal Support and Adult Companion.

Individualized Home Supports Without Training services are available to people on the:

Individualized Home Supports Without Training FAQ

Service Overview

Respite

Respite FAQ

Respite is a short-term care service intended to provide a break to an individual’s primary caregiver. Respite may be provided in the individual’s home or the respite provider’s home.  This service is available under various payment options including, Medical Assistance Home and Community Based Services (waiver programs), and private pay.

Service Overview
HOMEMAKER SERVICES FAQ

Homemaker Services range from light household cleaning and laundry to assistance with home management and activities of daily living. Home Management includes:

  • Meal prep
  • Shopping for food, clothes and supplies
  • Simple household repairs
  • Arranging for transportation

Homemaker Services are available under various payment options, including Medical Assistance Home and Community Based Services (waiver programs) and private pay.

Homemaker Services

Service Overview

Night Supervision Services

NIGHT SUPERVISION FAQ

Night Supervision is a non-preventative service consisting of overnight assistance and monitoring provided by a staff in the client’s home when the client has an assessed need in one of the following covered service areas:

  • Assistance with activities of daily living (ADLs)
  • Assistance with instrumental activities of daily living (IADLs)
  • Implementation of positive support programming and transition plans
  • Reinforcement of skill development supports
Service Overview
Individual Community Living Supports (ICLS)  FAQ

Individual Community Living Supports (ICLS)

Individual Community Living Supports (ICLS) offers assistance and support for older adults who need reminders, cues, intermittent/moderate supervision, or physical assistance to help them remain in their own homes. Individual Community Living Supports covers assistance and support for eligible people 65 years and older in the following service categories:

  • Active cognitive support
  • Adaptive support service
  • Activities of daily living (ADLs)
  • Household management
  • Health, safety and wellness
  • Community engagement

Individual Community Living Supports (ICLS) services are available to people on the:

Service Overview
CAREGIVER LIVING EXPENSE FAQ

Caregiver Living Expenses

The Caregiver Living Expenses program provides a reimbursement of certain expenses – specifically rent and food – incurred by a caregiver who is living in the same household as an individual receiving waivered services and providing approved services. Caregiver Living Expenses are available to people on either the Developmental Disabilities (DD) Waiver or the Community Access for Disability Inclusion (CADI) Waiver.

Service Overview

Personal Support

Personal Support consists of non-medical care, assistance and supervision provided in the individual’s home or community. This one-on-one service is intended to increase the individual’s independence and involvement with community activities.

On January 1, 2021, the State of Minnesota launched Phase One of the Waiver Reimagine Project. As a result of this change, Personal Support services were merged into a new service called Individualized Home Supports Without Training. Use the navigation bar on the left to learn more about Individualized Home Supports Without Training.

"

The best thing is that Accra has given me the opportunity to be the primary caregiver of my son. It brings me peace of mind knowing he is being taken care of properly between me and my son, James, as well as some added income.”

Clay-Jimmy-and-Pam-Super-Bowl-Party
Pam Julin

245D Waivered Services

GETTING STARTED

How to get 245D Waivered Services

1.

Obtain a Home and Community Based Services (HCBS) Waiver

2.

Connect with a social worker

  • Discuss and select which HCBS Waiver best meets your needs
  • Discuss and select services from your specific HCBS Waiver service menu

3.

Contact Accra

  • To contact Accra, call 866-935-3515 or email 245DIntake@accracare.org
  • Once Accra hears from you or your social worker, we will conduct a 245D Waivered Services intake meeting
  • Select and hire your chosen Direct Support Staff