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Alternative Care (AC) Program

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A federally and state-funded program that provides services to people 65 or older who do not yet qualify for Medical Assistance (MA). The services help people live in the community instead of in a nursing home.

Learn more at the Department of Human Services (DHS).

Assets

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Things that you own, like a car or a house. You can only own a certain amount in assets and still qualify for many health care and disability benefit programs. The home you live in and the car you drive to work are exempt under most Social Security and state disability benefit programs. For Supplemental Security Income (SSI), the first $100,000 in an ABLE account is not counted as assets. For Medical Assistance, SNAP (formerly Food Support/Food Stamps), and some other programs, none of the money in an ABLE account is counted.

Also called "resources."

Assistive Technology

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Technological devices that help people with disabilities carry out daily activities.

Behavioral Support

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Strategies to help people modify habits or behaviors that make it difficult for them to live in the community.

Brain Injury (BI) Waiver

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An MA-Waiver program that provides services to people with a brain injury who qualify for Medical Assistance (MA). The services help people live in the community instead of in a nursing facility or neurobehavioral hospital (a hospital that offers long-term rehabilitation to people who have a brain injury).

For more information, contact your or Chat with a Hub expert.

Caregiver Training and Education

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Training provided to family members or other non-professional caregivers so they can better care for a person with a disability.

Case Management Services (MA-Waiver Programs)

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Services that help people access the MA-Waiver services they need. Case management services can include developing a service plan, informing the individual (or their guardian or conservator) of service options, helping identify potential service providers, coordinating services, evaluating and monitoring services, and annual reviews.

Cognitive Rehabilitation Therapy

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Services designed to improve cognitive abilities (e.g., the ability to reason, make judgments, remember).

Community Access for Disability Inclusion (CADI) Waiver

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An MA-Waiver program that provides services to people with disabilities who qualify for Medical Assistance (MA). The services help people live in the community instead of in a nursing home.

For more information, contact your county human services agency or Chat with a Hub expert.

Community Alternative Care (CAC) Waiver

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An MA-Waiver program that provides services to people who are chronically ill and qualify for Medical Assistance (MA). The services help people live in the community instead of in a hospital.

For more information, contact your county human services agency or Chat with a Hub expert.

Community Support Plan

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Plan that helps MA-Waiver recipients identify and access the services and supports they need to live in the community. The plan is designed to suit each individual's needs. Also referred to as a "plan of care."

Consumer-Directed Community Supports (CDCS)

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This option gives the consumer more responsibility for directing the services and supports being provided to them, including hiring and managing direct care staff.

Developmental Disability (DD) Waiver

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An MA-Waiver program that provides services to people with developmental disabilities or related conditions who qualify for Medical Assistance (MA). The services help people live in the community instead of in an Intermediate Care Facility for Persons with Developmental Disabilities (ICF/DD).

For more information, contact your county human services agency or Chat with a Hub expert.

Elderly Waiver (EW) Program

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An MA-Waiver program that provides services to people 65 or older who qualify for Medical Assistance (MA). The services help people live in the community instead of in a nursing home.

Learn more at the Department of Human Services (DHS).

Homemaker Services

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Tasks such as meal preparation, shopping, errands, and routine household care are all examples of homemaker services.

Independent Living Skills (ILS)

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Services to help people develop and maintain the skills needed to live within the community. For people on a Brain Injury (BI) Waiver, ILS services are part of the individual’s plan of care and have specific therapeutic goals.

Individual Plan of Care

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Each enrollee in a MA-Waiver program has their own plan outlining the services they need to continue living safely in the community. This is known as a “individual plan of care” (sometimes referred to as a “community support plan”).

Long-Term Care Consultation (LTCC)

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A review of your situation to see what long-term care programs and services are best for you. The LTCC can help you figure out what services and programs might help you live in the community, including MA-Waiver programs, Medical Assistance (MA), personal care assistance (PCA) services, or other benefits. Even if you are not eligible for public benefits, the LTCC can help you understand what services, accommodations, and resources exist.

Note: MnCHOICES assessments are replacing the LTCC throughout Minnesota.

MA-Waiver Programs

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Some people require additional services beyond what's covered under standard Medical Assistance (MA). Minnesota's MA-Waiver Programs are designed to serve these people and provide the services necessary to allow them to live in the community.

Not all people with disabilities will qualify for a MA-Waiver program; each program serves a different target population and has its own set of eligibility criteria. Here are four MA-Waiver programs available to Minnesotans with a disability:

The Community Alternative Care (CAC) Waiver provides services to people who are chronically ill and need the level of care provided in a hospital.

The Community Access for Disability Inclusion (CADI) Waiver serves people with disabilities who need the level of care offered in a nursing facility.

The Developmental Disabilities (DD) Waiver provides services to people with developmental disabilities or related conditions.

The Brain Injury (BI) Waiver provides services to people with brain injuries.

Each of these programs offers a different set of services based on the population it serves. All of these programs offer Personal Care Assistant services, extended home health aide and nursing services, extended homemaker services, medical equipment and supply services, and increased transportation services.

To apply for a MA-Waiver program, contact your county human services agency.

Medical Assistance (MA)

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A state-run health care program that pays medical expenses for people who are disabled, young, elderly, poor, or pregnant. If you meet program requirements, MA will help pay for a variety of medical services including visits to the doctor, hospital stays, medical equipment, home care services, and prescription drugs. To apply for MA, visit your county human services agency.

Medical Redetermination

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All public health care and benefits programs require that your medical condition be re-assessed within certain timeframes. If Social Security or the State Medical Review Team determines that you are no longer disabled during one of these assessments, you’ll lose your eligibility for that program. This is known as “medical redetermination.”

MnCHOICES

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A review of your situation to see what long-term care programs and services are best for you. A MnCHOICES assessment may include reviews of:

  • Long-term care needs
  • Personal care assistance options, and
  • Developmental disability screening.

The MnCHOICES assessment can help you figure out what services and programs might help you live in the community, including MA-Waiver programs, Medical Assistance (MA), personal care assistance (PCA) services, or other benefits. Even if you are not eligible for public benefits, the assessment can help you understand what services, accommodations, and resources exist.

Anyone who needs long-term care can call their local county human services agency and request a MnCHOICES assessment. The county has to schedule the consultation within 20 days.

Learn more about MnCHOICES.

Note: Long-Term Care Consultations (LTCCs) used to help people in a similar way. MnCHOICES assessments are replacing the LTCC throughout Minnesota.

Modifications to Home or Vehicle

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Physical changes made to a person’s home or vehicle to better accommodate that person’s disability. Examples of such modifications include widening doorways for easier wheelchair access or adding extra hand controls to a vehicle.

Noncitizen

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A person currently in the United States who has not attained U.S. citizenship by birth or naturalization. This includes asylees, lawful permanent residents, nonimmigrants, refugees, and undocumented people.

Personal Care Assistant (PCA) Services

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Assistance and support services for people with disabilities who live independently in the community. A qualified personal care assistant provides the services in the person’s own home or in the community.

Personal Support

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Supervision and assistance provided in the home or community that helps the person achieve greater independence, productivity and inclusion in the community. Personal support services are provided when training services are not necessary.

Plan of Care

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Plan that helps MA-Waiver recipients identify and access the services and supports they need to live in the community. The plan is designed to suit each individual's needs. Also referred to as a "community support plan."

Proof of Identity

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Any document that the state will accept as proof of your identity. Click here for a listing.

Respite Care

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Temporary assistance provided on a short-term basis when the primary care provider is absent.

Retroactive Eligibility

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Eligibility for a particular program that is granted for months prior to the month of application. Some state health care programs, for example, allow you to begin your health coverage three months prior to the month you apply.

Specialist Services

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Special assistance for people who need help in areas like behavior management, independent living skills, communication skills, personal health, motor skills, and social skills. While other Medical Assistance (MA) and MA-Waiver services address many of these areas, specialist services are provided when extra help in one of these areas is required.

Structured Day Program

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Designed for people who may benefit from continued assistance with community living skills. Structured day program services take place in a non-residential setting.

Supported Employment Services

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Services to help people with disabilities find a job or remain employed. Services include things like job skills training, job coaching, or help requesting workplace accommodations.

Supported Living Services

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Services provided to people who require daily staff assistance due to severe behavior problems, medical conditions, physical problems, or lack of adequate survival skills. Services are designed to help people acquire and improve their self-help, socialization, and adaptive skills.

Transitional Services

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Services to help people move from an assisted living environment (e.g., adult foster care homes, hospitals, nursing facilities) to their own home.

U.S. Citizen

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A person who is:

  • Born in one of the 50 states, Washington D.C., Puerto Rico, Guam, Northern Mariana Islands, U.S. Virgin Islands, American Samoa, or Swain’s Island
  • Born outside of the U.S. to at least one parent who is a U.S. citizen
  • Granted citizenship status by U.S. Citizenship and Immigration Services (USCIS)

When applying for benefits, contact the agency you are applying to to find out what documents are acceptable for proving citizenship.