Intensive Waivered Services are a vital component of Minnesota’s Home and Community-Based Services (HCBS) waivers. These services are specifically designed to support individuals with disabilities or chronic illnesses who require a higher level of care. They enable individuals to receive comprehensive, person-centered assistance within their community, rather than in institutional or provider-controlled settings.

Individualized Home Supports with Training

Designed for both adults and minors, this service integrates basic in-home and community support with skills development training. It offers assistance with daily living tasks while equipping individuals with the essential skills to develop, maintain, and enhance their independence at home and in community settings.

Individualized Home Supports with Family Training

This service includes all the elements of IHS with training but also incorporates training and support for the individual’s family members. The goal is to help families better understand the individual’s needs, support their development, and promote long-term success in home and community living.

Community Participation:

  • 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.

Household Management

  • 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.

Health, Safety and Wellness

  • 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: These activities cannot duplicate the use of eligible Medical Assistance (MA) state plan home care services; refer to 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.

Adaptive Skills

  • 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.
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