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Aging & Adult Disabilities

The goals of the Aging and Adult Disabilities programs in St. Louis County Public Health and Human Services are to provide person-centered services by assessing the needs of people with disabilities, to provide appropriate home services to enable people to remain at home for as long as possible, and for people to be as independent as possible in the least restrictive placement when the home is no longer a safe alternative. Programs based on disabilities and needs are:

Elderly Waiver Program (EW):

The Elderly Waiver (EW) program funds home and community-based services for people age 65 and older who are eligible for Medical Assistance (MA) and require the level of medical care provided in a nursing home, but choose to reside in the community. The Minnesota Department of Human Services (DHS) operates the EW program under a federal waiver to Minnesota's Medicaid State Plan. Counties administer the program.

What types of services are available? 
Covered services include visits by a skilled nurse, home health aide, homemaker, companion, personal care assistant, as well as home-delivered meals, adult day care, supplies and equipment, home modifications, and certified community residential services (assisted living, foster care, residential care). 

Alternative Care program (AC):

The Alternative Care (AC) Program is a state-funded cost-sharing program that supports certain home and community-based services for eligible Minnesotans, age 65 and over. This program provides home and community-based services to prevent and delay transitions to nursing facility level of care. This is a program for those who have either too much income or assets to qualify for Medical Assistance. Depending on income, a small “Premium” is charged each month for coverage. The services available are the same as the Elderly Waiver (EW) program.

Essential Community Support (ECS):

The Essential Community Supports (ECS) program is a community-based services for people who do not meet nursing facility level of care (NF LOC) criteria.

What types of services are available? 
Covered services include homemaker service, home-delivered meals, chore, adult day service and personal emergency response system.

Brain Injury Waiver Program (BI):

The Brain Injury (BI) Waiver provides 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.

What types of services are available? 
Covered services include visits by a skilled nurse, home health aide, homemaker, companion, personal care assistant, as well as home-delivered meals, adult day care, supplies and equipment, home modifications, respite, employment programs and residential services such as customized living and foster care.

Community Access for Disability Inclusion Waiver Program (CADI):

The Community Access for Disability Inclusion (CADI) Waiver provides 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.

What types of services are available? 
Covered services include visits by a skilled nurse, home health aide, homemaker, companion, personal care assistant, as well as home-delivered meals, adult day care, supplies and equipment, home modifications, employment programs and residential services such as customized living and foster care.

CAC Waiver Program (CAC):

The Community Alternative Care (CAC) Waiver provides 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.

What types of services are available? 
Covered services include visits by a skilled nurse, home health aide, homemaker, personal care assistant, as well as home-delivered meals, employment services and foster care. 

MnCHOICES Assessments:

Public Health Nurses and Social Workers assess the appropriateness of nursing home placement and provide information and resources for alternative living arrangements or in-home services. This is a free service offered to help determine the kinds of limitations a person has and the services available to help meet their needs.  


For More information:

Contact: 218-726-2366 or call toll free 800-450-9777