These programs for alternatives to nursing facilities typically cost much less than institutional care.
Brain Injury Waiver
Eligibility: For persons with acquired or traumatic brain injuries who are eligible for Medical Assistance. They must be certified as disabled by the State Medical Review Team or by the Social Security Administration.
Supportive Services include: customized living, 24-hour emergency assistance, adult companion, behavior programming, chore services, home delivered meals, homemaker, night supervision, respite, transportation. Other services are available.
Community Alternative Care (CAC) Waiver
Eligibility: For persons certified disabled by the Social Security Administration or the State Medical Review Team and eligible for Medical Assistance. Recipients are under 65 years of age and choose care in the community instead of a hospital.
Supportive Services include: Environmental accessibility adaptations, environmental accessibility adaptations, extended home care services, foster care, home delivered meals, homemaker, respite care and transportation. Other services are available.
Community Alternatives for Disabled Individuals (CADI) Waiver
Eligibility: For persons certified disabled by the Social Security Administration or the State Medical Review Team and eligible for Medical Assistance. Recipients are under 65 years of age and require the level of care provided by individuals in a nursing facility.
Supportive Services include: customized living, 24-hour emergency assistance, adult companion, caregiver living expenses, chore services, foster care, home delivered meals, homemaker, respite care, and specialized supplies and equipment. Other services are available.
Developmental Disabilities (DD) Waiver
Eligibility: For persons determined to have a developmental disability or related condition and be eligible for Medical Assistance. Recipients are determined to require the level of care provided in an Intermediate Care Facility for Person with Developmental Disabilities.
Supportive Services include: adult day care, assistive technology, chore services, crisis services, emergency assistance, homemaker services, respite, specialist services and transportation services. Other services are available.
Elderly Waiver (EW) Eligibility: Age 65 and older, current Medical Assistance recipient and qualifies for supportive services. To determine if you qualify for supportive services, you must request a
Long-Term Care Consultation by contacting Public Health intake at 651-554-6115 or email
public.health@co.dakota.mn.us.
Supportive Services include: Homemaker, home health aide, adult day services, respite care, service coordination, personal care, home delivered meals, lifeline, skilled nursing, special supplies and equipment, and help with housing options. Other services may be available.
Alternative Care Program (AC) Eligibility: Age 65 and older, have income and assets that would not support care in a nursing facility for more than 135 days and qualify for supportive services.
To determine if you qualify for supportive services or determine financial eligibility, you must request a
Long-Term Care Consultation by contacting Public Health Intake at 651-554-6115 or email at
public.health@co.dakota.mn.us.
Supportive Services include: Homemaker, home health aide, adult day services, respite care, service coordination, personal care, home delivered meals, lifeline, skilled nursing, special supplies and equipment, and help with housing options. Other services may be available.
Cost: The program may require a monthly premium.
Home Care Services Eligibility: Persons with disabilities and special health care needs who qualify for Medical Assistance. Some recipients of MinnesotaCare may also qualify.
Services include: Professional nursing services, occupational therapy, physical therapy and other services
Personal Care Assistance (PCA)
Eligibility: Current Medical Assistance recipient and qualifies for this service as determined by an in-home assessment completed by a public health nurse. If you have a health plan with your Medical Assistance, contact your health plan, and they arrange for the in-home assessment.
Services include: Help with activities of daily living, such as eating, bathing, dressing and personal hygiene.