Questions about the Tax Forfeiture Class-Action Settlement? Visit MNTaxForfeitureSettlement.com or call 1-833-709-0093

 

Aging & Disability Services

 
 

St. Louis County helps people who are over the age of 65 or have a disability find life-enhancing services. Our goal is to increase independence, health, and safety so that people can live in their communities as independently as possible.

MnCHOICES

About MnCHOICES Assessments

The MnCHOICES assessment allows for anyone of any age with a disability to access the support services needed to stay in their home. MnCHOICES helps make decisions about long-term services that help individuals thrive in their communities.  Public health nurses and social workers assess individuals in-person to learn more about your needs, goals and choices to determine what services and help you might qualify for.

If you or a loved one need assistance at home, a MnCHOICES assessment is required to determine what long-term care programs and services are best for you. Even if you are not eligible for public benefits, a certified assessor can assist you in understanding what services, accommodations, and resources exist. Follow the steps below to get started.

For more information, please see MnCHOICES brochure from DHS.

Step One: Request a MnCHOICES Assessment

To Schedule your free assessment, call 218-726-2366

Step Two: Complete a MnCHOICES Assessment

 

A certified assessor will complete a MnCHOICES assessment in your home or another location if preferred. Family and friends are welcome to join you during the assessment. Please be aware assessments may take approximately two hours to complete. Click here to learn more about what to expect and how to prepare for your MnCHOICES assessment.

Step Three: Eligibility

Following the MnCHOICES assessment, a certified assessor will review supports and services you may be eligible for based on assessment outcomes. Services can vary for individuals under 65 or over 65.

Services for people under age 65

DHS Intellectual Disability/Rule 185 Case Management
 
Brain Injury (BI) Waiver
 
Community Access For Disability Inclusion (CADI) Waiver
 
Community Alternative Care (CAC) Waiver
 
Consumer Support Grant (CSG)
The Consumer Support Grant program is a state-funded alternative to Medicaid home care services of home health aide, personal care assistance and/or private duty nursing. Medicaid services are paid for with a combination of state and federal money. The Consumer Support Grant Program allows eligible consumers to convert the state portion of payments for specific home care services into a cash grant. The monthly cash grants replace fee-for-service home care services payments. With county assistance, consumers can manage and pay for a variety of home and community-based services. The CSG program gives consumers greater flexibility and freedom of choice in service selection, payment rates, service delivery specifications and employment of service providers. Parents, spouses, family members, trusted neighbors or friends can be paid for service, as well as employees of traditional home care provider agencies. Consumers may choose the participant employer option and act as the employer of their direct support workers. For more information, please see Participant Employer Options.
 
 
Family Support Grant (FSG)
The Family Support Grant (FSG) program provides state cash grants to families of children with certified disabilities. The goal is to prevent or delay out-of-home placement of children with disabilities and promote family health and social well-being by providing access to family-centered services and supports.
 

Personal Care Assistance (PCA)
The personal care assistance program provides services to persons who need help with day-to-day activities to allow them be more independent in their own home. A personal care assistant is an individual trained to help persons with basic daily routines. A PCA may be able to help you if you have a physical, emotional or mental disability, a chronic illness or an injury.
Who is eligible for personal care assistance services?
To be eligible for the personal care assistance program, a person must meet all these criteria:
  • Be eligible to receive Medical Assistance or MinnesotaCare Expanded (pregnant women and children)
  • Require services that are medically necessary and ordered by a physician
  • Be able to make decisions about your own care or have someone who can make decisions for you
 

Services for people over age 65

Alternative Care (AC)
 
Essential Community Supports (ECS)
 
Elderly Waiver (EW)
 
Personal Care Assistance (PCA)
The personal care assistance program provides services to persons who need help with day-to-day activities to allow them be more independent in their own home. A personal care assistant is an individual trained to help persons with basic daily routines. A PCA may be able to help you if you have a physical, emotional or mental disability, a chronic illness or an injury.
Who is eligible for personal care assistance services?
To be eligible for the personal care assistance program, a person must meet all these criteria:
  • Be eligible to receive Medical Assistance or MinnesotaCare Expanded (pregnant women and children)
  • Require services that are medically necessary and ordered by a physician
  • Be able to make decisions about your own care or have someone who can make decisions for you
 
Consumer Support Grant (CSG)
The Consumer Support Grant program is a state-funded alternative to Medicaid home care services of home health aide, personal care assistance and/or private duty nursing. Medicaid services are paid for with a combination of state and federal money. The Consumer Support Grant Program allows eligible consumers to convert the state portion of payments for specific home care services into a cash grant. The monthly cash grants replace fee-for-service home care services payments. With county assistance, consumers can manage and pay for a variety of home and community-based services. The CSG program gives consumers greater flexibility and freedom of choice in service selection, payment rates, service delivery specifications and employment of service providers. Parents, spouses, family members, trusted neighbors or friends can be paid for service, as well as employees of traditional home care provider agencies. Consumers may choose the participant employer option and act as the employer of their direct support workers. For more information, please see Participant Employer Options.
 

Paying For Services

MnCHOICES assessments are completed free of charge. During your assessment visit, a certified assessor will discuss state and federal-funded programs an individual may be eligible for and funding sources that may assist with the cost of these services. A disabled child that is not eligible for Medical Assistance may qualify for TEFRA as a supplement for payment of home care services. Private pay options can also be arranged for eligible services. 

Do I qualify for Medical Assistance? Click here


DSD eList announcement

Date: April 16, 2025
To: All interested parties
From: DHS Disability Services Division
Purpose: To announce a public comment period for the Community Access for Disability Inclusion (CADI) Waiver application before submission to the Centers for Medicare & Medicaid Services (CMS)
Comment period starts: 8 a.m., Wednesday, April 16, 2025
Comment period ends: 4 p.m., Friday, May 16, 2025
Submit comments to: DSD.PublicComments@state.mn.us

DHS requests public comments on CADI Waiver application

DHS requests comments on proposed policy changes for the Community Access for Disability Inclusion (CADI) Waiver application (PDF) before we submit it to CMS for approval.

As part of the five-year renewal process to continue the CADI Waiver program, DHS will submit the application to CMS with an effective date of Oct. 1, 2025.

Draft for review

To review the application, visit CADI Waiver application (PDF).

Process to submit comments

Email comments to DSD.PublicComments@state.mn.us no later than 4 p.m., Friday, May 16, 2025.

We also will accept comments by mail. Mail written comments to:

ATTN: CADI Waiver Comments
Minnesota Department of Human Services
Disability Services Division
P.O. Box 64967
St. Paul, MN 55164-0967

How to request a copy of the CAC Waiver application

You can access the CADI Waiver application electronically: CADI Waiver application (PDF).

If you are unable to access the CADI Waiver application document electronically, we will provide you with a copy. To make a request, you can:

  • · Use the DSD Contact Form.
  • · Send a written request to:
    ATTN: CADI Waiver application
    Minnesota Department of Human Services
    Disability Services Division
    P.O. Box 64967
    St. Paul, MN 55164-0967
  • · Call the DSD Response Center at 651-431-4300

Contact

Request a MnCHOICES 
Assessment

Phone: 218-726-2366

Disability Hub
Free statewide resource network. Helps solve problems and plan for your future. 

Senior Linkage Line and Minnesota Help

Links to service providers by area and helpful information.

 All contacts