245D Waivered Services
Accra is a Basic 245D licensed provider of Individualized Home Supports without Training, Respite, Homemaker and Night Supervision Services
Mon.-Thurs. | 8am to 4:30pm
Fri. | 8am to 4pm
Accra is a Basic 245D licensed provider of Individualized Home Supports without Training, Respite, Homemaker and Night Supervision Services. In each 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.
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:
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:
While an Individualized Home Supports staff can provide all the same care as a PCA, they are also focused on helping the client to increase their independence and access their community.
Yes. Parents can work as an Individualized Home Supports Without Training staff, as long as the client is an adult.
Yes. Under Individualized Home Supports Without Training, the person acting as the client’s Responsible Party may also work as a staff.
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.
Respite is intended as a break for the client’s Primary Caregiver(s). Depending on the number of Respite hours available, this break could be, for example, for a few hours, or even an entire weekend, including overnights.
|While Respite staff are not allowed to work overtime on a consistent weekly basis, Accra does recognize that, based on the intention of the service (a break for the Primary Caregiver), there may be times when a respite staff member is needed to cover a longer than typical break. Your assigned Accra 245D Service Coordinator will help you understand when overtime is an option under Respite Services.|
Homemaker Services range from light household cleaning and laundry to assistance with home management and activities of daily living. Home Management includes:
Homemaker Services are available under various payment options, including Medical Assistance Home and Community Based Services (waiver programs) and private pay.
Basic Homemaker Services are not a 245D licensed service, and they allow for a staff person to assist with cleaning and laundry.
There are two types of 245D licensed Homemaker Services:
Yes. While all Accra Homemaker employees must complete an Accra employee application and pass a state required background check, only Homemakers working under the 245D license are required to complete an additional 245D Employee Training Packet.
There are two scenarios where a person may qualify for Waivered Homemaker Services:
Night Supervision Services consist of overnight assistance and monitoring provided by an awake staff in the client’s home. Night Supervision tasks include reinforcing independent living skills, monitoring for safety and assisting with activities of daily living. Night Supervision Services are available to people on either the Developmental Disabilities (DD) Waiver or the Community Access for Disability Inclusion (CADI) Waiver.
Night Supervision is overnight assistance from a Direct Support Staff who must be awake throughout their entire shift, even if the client is asleep.
The starting wage for Night Supervision is $17.75 per hour.
Individual Community Living Supports (ICLS) offers assistance and support for old 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:
Individual Community Living Supports (ICLS) services are available to people on the:
Your county case manager will supply Accra with a State of Minnesota Individual Community Living Support (ICLS) Planning Form. The planning form indicates which ICLS Service Categories the individual requires assistance in. Accra uses this planning form to develop, with the individual, their Coordinated Services and Support Plan (CSSP) Addendum.
Relatives and non-professional legal guardians/conservators are allowed to provide ICLS services. However, the ICLS Direct Support Staff may not be the person’s spouse, professional legal guardian/conservator, landlord, or have any financial interest in the person’s housing.
Accra ICLS Direct Support Staff are able to perform all supports listed in the six ICLS Service Categories, with the exception of medication set-up and administration. Accra ICLS Direct Support Staff are trained in medication assistance.
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.
Your County Case Manager will supply Accra with a State of Minnesota Caregiver Living Expenses Worksheet, which informs Accra of the name of the authorized live-in caregiver, as well as the amount of the monthly reimbursement.
Caregiver Living Expense reimbursements are only available to individuals who are NOT related by blood, marriage, adoption or are otherwise legally responsible for the client.
Caregiver Living Expense is a reimbursement of certain expenses, including rent. It is not an advance on someone’s rent. The authorized live-in caregiver does not become eligible for each month’s reimbursement until they have worked at least one shift of their authorized service within the month they are seeking reimbursement for.
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.”