Home and Community Based Services

Elderly Waiver (EW): Program that funds home and community-based services for people age 65 and older who require the level of care provided in a nursing home and choose to live in the community.

Community Access for Disability Inclusion (CADI) Waiver: Home and community-based services necessary as an alternative to institutionalization that promote the optimal health, independence, safety and integration of a person who would otherwise require the level of care provided in a nursing facility.

Community Alternative Care (CAC) Waiver: Home and community-based services necessary as an alternative to institutionalization that promote the optimal health, independence, safety and integration of a person who is chronically ill or medically fragile and who would otherwise require the level of care provided in a hospital.

Brain Injury (BI) Waiver: Home and community-based services necessary as an alternative to institutionalization that promote the optimal health, independence, safety and integration of a person and who would otherwise require the level of care provided in a specialized nursing facility or neurobehavioral hospital.

Alternative Care (AC): A state-funded program that supports limited home and community-based services for people age 65 and older who are not financially eligible for MA, but who meet AC financial and service eligibility requirements and require the level of care provided in a nursing home. People eligible for Alternative Care have low levels of income and assets but are not yet eligible for MA.

MnCHOICES: A person-centered assessment to help people with long-term or chronic-care needs make care decisions and select support and service options.

The MnCHOICES process involves three steps:

• Intake
• Assessment
• Support planning

Financial eligibility is determined by Wilkin County Financial Worker through completion of required application. Must meet Medical Assistance guidelines.

Case management activities may be provided to or arranged for a person. Activities may include but are not limited to the following:

• Coordinate services
• Develop a service plan based on people’s assessed needs and preferences
• Evaluate and monitor services identified in the service plan
• Help people access needed services
• Help people identify potential service providers
• Inform people or their legal representative of service options