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245D Waivered Service

At Hero Homecare, we believe every individual deserves the opportunity to live a full, independent, and meaningful life within their own home and community. Our 245D waiver services make that possible. These services, licensed by the Minnesota Department of Human Services (DHS) and funded through Medicaid waiver programs, are designed to provide the support you need to thrive.

Navigating care options can feel confusing — but we’re here to make the process clear, simple, and stress-free. Our approach is fully person-centered, meaning your safety, goals, preferences, and well-being guide every step of your care. We work closely with you to build a customized support plan and can assist you with getting started with both Basic and Intensive Support Services under the 245D waiver program.

To explore the services available through 245D waivers, please click on the individual service options below.

At Hero Homecare, we are committed to helping individuals with disabilities live fulfilling, independent, and dignified lives. Our compassionate Direct Support Professionals (DSPs) provide personalized, person-centered care that supports daily living, skill building, and meaningful community involvement.

Essential Support (Without Training)

For individuals who need dependable day-to-day assistance.

Activities of Daily Living (ADLs)

  • Personal hygiene, bathing, and grooming
  • Dressing, toileting, and routine care

Community Engagement Assistance

  • Transportation for appointments and errands
  • Support for social outings and community activities

Life Skill Maintenance

  • Help with cooking, cleaning, and household tasks
  • Guidance with money management and basic routines
Skill-Building Support (With Training)

For individuals who need structured guidance to build confidence and independence.

Hands-On, Person-Centered Training

  • Customized training based on personal goals
  • Step-by-step guidance to develop new skills

Daily Living Skill Enhancement

  • Support to strengthen everyday tasks
  • Encouragement to practice and maintain independence

Community Living Coordination

  • Assistance with accessing local services
  • Help navigate community programs and build support networks
Family Support Services

Partnering with families to create a strong care environment.

Customized Family Training

  • Tailored guidance based on the needs of each family
  • Practical strategies to provide effective support at home

Collaborative Care Planning

  • Working closely with families to create meaningful care plans
  • Clear and consistent communication throughout the process

Strengthening Care at Home

  • Providing tools, knowledge, and resources
  • Helping families feel confident and supported in caregiving

Who Can Benefit?

Hero Homecare proudly supports individuals with a wide range of needs, including:

  • Physical Disabilities – Support with mobility, daily routines, and personal care.

  • Cognitive Disabilities – Help with memory, decision-making, planning, and everyday tasks.

  • Developmental Disabilities – Assistance with communication, social skills, and community inclusion.

  • Sensory Disabilities – Support with environmental navigation, communication, and maintaining independence.

Eligibility for 245D Services

What are 245D Waivered Services?
In-home 245D services are provided under the Home and Community Based Services (HCBS) initiative, which aims to improve the well-being and independence of individuals with disabilities of all ages and those over 65. These services are licensed and regulated by the Minnesota Department of Human Services (DHS).
Who is Eligible for 245D Services?

The specific eligibility requirements for a waiver depend on the chosen waiver program, such as the Brain Injury (BI), Community Alternatives for Disabled Individuals (CADI), Community Alternative Care (CAC), Developmental Disability (DD), or Elderly Waiver (EW). Individuals must also meet the general eligibility requirements for the waiver program, such as being eligible for Medical Assistance (MA), certified disabled, and completing an MNChoices assessment.

Developmental Disabilities Waiver fact sheet (PDF)

Community Access for Disability Inclusion Waiver fact sheet (PDF)

How to Determine Eligibility for 245D Services?

Contact your local county or tribal human services office: They can provide personalized guidance and assistance with the application process and answer any specific questions you may have.

MnCHOICES Assessment: This comprehensive assessment evaluates your needs and determines your eligibility for waivered services. It’s conducted by your county or tribal human services office.

Connect with a case manager to discuss and determine which Home and Community Based Waiver best meets your needs.

How to Get 245D Services Started?

Contact Hero Homecare by using our Referral Form or calling 6124820335

Once we hear from you and your case manager, we will conduct a 245D services intake meeting.

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