Adult Companion Services
This service is focused on promoting the emotional and physical well-being of our clients by continuously providing them emotional support and assistance with daily living activities. We listen to them intently without judgment, encourage fun and engaging activities, help them communicate with their friends and loved ones, adhere to their diet, medications, and exercises, and more!
Homemaker
Services that help a person manage general cleaning and household activities.
There are three types of homemaker services:
Cleaning: Homemaker cleaning services include home cleaning tasks exclusively, such as:
- Light housekeeping tasks.
- Laundry services
- Homemaker cleaning also includes monitoring the person’s wellbeing while in the home, including home safety.
Home management: Homemaker home management providers deliver homemaker cleaning services and, while onsite, provide incidental assistance with home management activities as needed. However, homemaker cleaning must be the primary service provided.
Home management activities may include assistance with:
- Arranging transportation.
- Preparing meals.
- Shopping for food, clothing, and household supplies.
- Performing simple household repairs.
- Homemaker home management also includes monitoring the person’s wellbeing while in the home, including home safety.
Assistance with ADLs: Homemaker assistance with ADLs providers deliver homemaker cleaning services and, while onsite, provide incidental assistance with ADLs as needed. However, homemaker cleaning must be the primary service provided.
Assistance with ADLs includes assistance with:
- Ambulating.
- Bathing.
- Dressing.
- Eating.
- Grooming.
- Toileting.
- Homemaker assistance with ADLs also includes monitoring the person’s wellbeing while in the home, including home safety.
Respite
Short-term care services provided to a person when their primary caregiver is absent or needs relief.
- In-home respite: Respite provided to a person in their home. This can include time spent in community locations used by the general public (e.g., malls, parks, libraries) while the person continues to stay in their home.
Respite Covers:
- Level of supervision and care that is necessary to ensure the person’s health and safety.
Individual Community Living Support(ICLS)
Bundled service that includes six service components. ICLS services offer assistance and support for older adults who need reminders, cues, intermittent/moderate supervision or physical assistance to remain in their own homes. This service is offered to people 65 and over.
Service Categories include:
Active cognitive support: A component of ICLS that includes support to help the person with cognitive challenges and issues that are important to them.
Examples
- Help problem-solve the person’s concerns related to daily living.
- Provide assurance to the person.
- Observe and redirect to address the person’s cognitive, orientation or other behavioral concerns.
- Provide check-ins to identify problems and resolve concerns.
Adaptive support service: A component of ICLS that includes support to help the person adopt ways to meet their needs. The support encourages self-sufficiency and reduce reliance on human assistance.
Examples
- Provide verbal, visual and/or touch guidance to help the person complete a task.
- Develop and demonstrate cues or reminder tools (e.g., calendars, lists).
- Help the person understand assistive technology directions or instructions to maintain independence.
- Practice strategies and similar support methods that promote continued self-sufficiency.
ADLs: A component of ICLS that includes support to help the person with ADLs.
Examples
- Provide reminders or cuing systems to complete ADLs.
- Cue and/or provide intermittent physical assistance with dressing, grooming, eating, toileting, mobility, transferring and positioning.
- Cue and/or provide continual supervision and physical assistance with bathing, as needed.
Note: ICLS is not an appropriate service to meet a person’s need for constant supervision or physical assistance with ADLs throughout the task, except for bathing. Personal care assistance (PCA) is the service designed to meet this level of need for ADL assistance. For additional information, refer to CBSM – PCA.
Household management: A component of ICLS includes support to help the person manage their home.
Examples
- Help with cleaning, meal planning/preparation and shopping for household and personal needs.
- Help with budgeting and money management.
- Help with communications (e.g., sorting mail, accessing email, making phone calls, scheduling appointments).
- Provide transportation when it is integral to ICLS household management goals and when community resources and/or informal supports are not available; refer to the transportation section on this page for more information.
Health, safety and wellness: A component of ICLS includes support to help the person maintain their overall well-being.
Examples
- Identify changes in the person’s health needs and notify the case manager and/or informal caregivers as needed.
- Coordinate or implement changes to mitigate environmental risks in the home.
- Provide reminders about and assistance with exercises and other health maintenance or improvement activities.
- Provide medication assistance (e.g., medication refills, reminders, administration, preparation).
- Monitor the person’s health according to written instructions from a licensed health professional and report any significant changes as instructed.
- Use medical equipment devices or adaptive technology according to written instructions from a licensed health professional.
Community engagement: A component of ICLS includes support to help the person have meaningful integration and participation in their community.
Examples
- Help the person access activities, services and resources that facilitate meaningful community integration and participation.
- Help the person develop and/or maintain their informal support system.
- Provide transportation when it is integral to ICLS community engagement goals and community resources and/or when informal support not available; refer to the transportation section on this page for more information.
Night Supervision
Overnight assistance and supervision provided by a staff in the person’s own home when the person has an assessed need in one of the covered services areas.
- Implementation of the person’s positive support programming and transition plans.
- Reinforcement of skill development supports (e.g., individualized home supports).
- Assistance with activities of daily living (ADLs).
- Assistance with instrumental activities of daily living (IADLs).
Night supervision services include asleep or awake staff.
Individualized Home Support with and without Training
- Individualized home support can be provided in the person’s own home, family’s home or in community spaces used by the public, and either in person or remotely.
- Support in community living service categories: Cueing, skill maintenance, guidance, instruction, assistance with activities of daily living, assistance with coordination of community living activities or direct supervision. Support must be within an allowable community living service category.
- Training in community living service categories: Skill-building and instructional services to acquire, retain and improve the person’s experience living in the community. Training must be within an allowable community living service category, and training must meet identified needs specified in the person’s assessment (e.g., MnCHOICES, long-term care consultation).
Individualized home supports cover community living services in four categories:
- Community participation
- Health, safety, and wellness
- Household management
- Adaptive skills.
**When a person receives individualized home support without training, they must receive support in at least one of the community living service categories.
**When a person receives individualized home support with training or individualized home supports with family training, they must receive training in at least one of the community living service categories. They also may receive support in any of the community living service categories.
Community participation: This category may include:
- Community mobility and pedestrian safety (e.g., safely getting in and around the community)
- Community resource use and access
- Community safety and awareness
- Informal support system and network development
- Interpersonal communications skills
- Leisure, recreation and socialization planning
- Skill-building to meet transportation needs.
Health, safety and wellness: This category may include:
- Collaboration with the person to arrange health care (e.g., physical, mental, chemical), meaningful activities, social services, meetings and appointments
- Cueing, guidance, supervision, training or instructional support to complete self-cares
- (Note: Cannot duplicate use of eligible Medical Assistance [MA] state plan home care services; see CBSM – Home care overview)
- Health services support, as defined in Minn. Stat. §245D.05
- Help for the person to activate and build resiliency factors. (e.g., whole health action management)
- Support for the person to design and meet individualized strategies to reach their health, safety and wellness goals.
Household management: This category may include:
- Cueing, guidance, supervision, training or instructional support to complete routine household care and maintenance
- Household safety knowledge and skills
- Tenancy support and advocacy
- Training, assistance, support and/or guidance with:
- Budgeting and assistance to manage money
- Cooking, meal-planning and nutrition
- Healthy lifestyle skills and practices
- Household chores, including minor household maintenance activities
- (Note: The person is responsible for the cost of the maintenance replacement items or products)
- Personal-needs purchasing.
Adaptive skills: This category may include:
- Crisis prevention skills
- Implementation of positive support strategies
- Problem-solving
- Sensory/motor development involved in acquiring functional skills
- Support strategies for self-sufficiency
- Support and training to increase positive behavior, resulting in reduction or elimination of challenging behavior.
Personal Support
We help our clients grow and develop individually as independent, capable, and healthy individuals. Our personal support services focus on assisting them with ADLs, helping them achieve their full potential, and guiding them towards effective community inclusion.
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