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Home maintenance and chore services are provided to senior citizens to enable them to live safely and independently in their own homes. Services may include: - Assistance with clutter elimination - Home maintenance - Housekeeping - kitchen and bathroom cleaning - Household chores - Lawn care and yardwork - Relocation assistance - Snow removal

- 24-hour emergency assistance: On-call counseling and problem-solving and/or immediate response for assistance at a person's home due to a health/personal emergency - Community residential services: Services that provide training and/or habilitation, ongoing residential care and supportive services to adults and/or children in a setting licensed by the lead agency. These services are individualized and based on the needs of the person, as identified in the support plan - Companion services: Non-medical care, supervision and socialization to a person age 18 or older - Crisis respite: Short-term care and intervention strategies provided to a person due to the need for caregiver relief, protection of the person or others living with the person, or the person's need for behavioral or medical intervention - Day support services: Individualized home, and community-based services (HCBS) that provide opportunities for community-based training and support for people with disabilities. Day support services develop and maintain essential and personally enriching life skills to ensure that people with disabilities can fully access and participate in personally preferred activities within their community - Day training and habilitation: Services that develop and maintain life skills for people with developmental disabilities or related conditions so they can fully participate in community life - Family residential services: Services that provide training and/or habilitation, ongoing residential care and supportive services to adults and/or children in a setting licensed by the lead agency where the license holder resides in the home. These services are individualized and based on the needs of the person, as identified in the support plan - Homemaker services: Eligible services range from light household cleaning to household cleaning with incidental assistance with home management and/or activities of daily living - Individual community living supports (ILCS): For people who need reminders, cues intermittent/moderate supervision or physical assistance to remain in their own homes - Individualized home supports without training: Services for adults or children when they need support, assistance and supervision in at least one of the community living service categories when living in their own home or family home. Community living service categories include community participation; health, safety and wellness; household management; adaptive skills - Night supervision: Provides overnight assistance and monitoring by staff in the person's own home - Respite care services: Short-term care due to the absence or need for relief of the family member(s) or primary caregiver normally providing the care.

Comprehensive geriatric assessment, case management, shopping, transportation, caregiver support and other services to help adults over 60 live safely and independently at home. Services include: - Care Planning and Consultation - Holocaust Survivor Support - Memory Café - Transportation for clients of the program, Monday - Friday, with at least two days' notice - Volunteers who provide friendly visiting and socialization

- 24 hour High-Tech or Complex Nursing (Ventilator Nursing Care LPN/RN) - 24-hour Home Health Aide and Personal Care Attendant (HHA/PCA) - 24-hour Private Duty Nursing or Regular Nursing (LPN/RN) - Home Health Aide (HHA), Personal Care Attendant (PCA), Homemaker, Companion - Licensed Practical Nurse (LPN) - Registered Nursing - Skill Home Visit (assessment)

Provides in-home or out-of-home community based services including: - 24-hour emergency assistance ?- Adult companion services ?- Homemaker services ?- Individual community living supports ?- Night supervision ?- Respite care

Provides resources for older adults living alone as well as caregivers needing support. Services are designed to help maintain independence as long as feasible. Home-based services are provided according to the availability of volunteers and staff: - Homemaking: Indoor light housekeeping services include mild laundry services, floor care, kitchen/bathroom cleaning, and other indoor help. Light "fix it" services (i.e., changing light bulbs, smoke detector batteries, etc.), meal preparation, menu planning, picking up groceries and medications, help with organizing bills, etc. Supportive programs: - Caregiver Consulting: Helps caregivers manage and live their lives while caring for another person, develop individualized plans, and connect with resources in the community - Caregiver Support Groups: Professionally facilitated, confidential environment for caregivers to share concerns, feelings regarding their role as caregiver, and to learn from each other

Offers in-home health care services to tailor to client's needs and help them remain independent without staying at a facility or hospital. Services include: - Home health aides who can help with bathing, dressing, grooming, and other delegated tasks - Occupational therapy service to help clients recover from injuries, disabilities, or illnesses and relearn everyday activities - One-on-one personal support service to support individuals to become more independent - Personal care attendants and homemakers to assist with basic home skills such as eating, transfers, mobility, positioning, toileting, light housekeeping, and laundry - Physical therapy service to help clients improve their mobility, balance, prevent falls, and recover from previous health concerns - Skilled nursing services providing initial assessment, health education, medication setup, diabetic management, wound care, health management, and more

Provides in-home or out-of-home community-based services, including: - 24 hour emergency assistance - Adult companion services - Homemaker services - Individual community living support - Individualized home support - Night supervision - Personal support - Respite care

- 24 hour High-Tech or Complex Nursing (Ventilator Nursing Care LPN/RN) - 24-hour Home Health Aide and Personal Care Attendant (HHA/PCA) - 24-hour Private Duty Nursing or Regular Nursing (LPN/RN) - Home Health Aide (HHA), Personal Care Attendant (PCA), Homemaker, Companion - Licensed Practical Nurse (LPN) - Registered Nursing - Skill Home Visit (assessment)

Provides 245D waivered services, which include: - Homemaker Services: Provides light household cleaning, laundry, assistance with home management, and activities of daily living - Individual Community Living Supports (ICLS): Offers assistance to older adults who need reminders, cues, intermittent/moderate supervision, or physical assistance to help them remain in their homes - Individual Home Supports Without Training: Provide support, assistance, and supervision to adults or children who live in their own homes - Night Supervision Services: Provides overnight assistance and monitoring in the client's home when the client is in need of assistance with activities of daily living, positive support programming, transition plans, and reinforcement of skills development - Personal Support: Non-medical care, assistance, and supervision

A non-medical home health care agency offering services such as: - 24-hour emergency assistance - Adult companion services - Day training and habilitation - Employment support services including employment development, exploration, and support - Homemaking services - Independent living skills training - Individualized community living support and individualized home supports - Personal support and night supervision - Respite care, in home, or out-of-home

Offers traditional home care services. Services are flexible and designed to meet client needs. - Assisting with ambulation and helping to prevent falls - Bathing, toileting, and grooming - Cleaning the bathroom and kitchen after use, washing dishes after meals, and mopping the floor - Cleaning the client's home, which includes dusting and vacuuming - Driving and/or accompanying the client to the physician when necessary - Going on walks and encouraging and participating in stimulating activities - Helping with correspondence to family and friends - Making and changing the bed - Medication management - Preparing and serving meals according to the client's dietary needs - Providing hygiene assistance - Providing respite for family caregivers - Providing socialization, friendship, and support for the client - Reminding clients to take their medication - Shopping and performing other household errands - Taking care of personal laundry and bed linens for the client

Services include: - Alzheimer's and Dementia Care - Chronic Illness Care - Companionship - Home Helper: Cooking, grocery list preparation/shopping, light housekeeping, and meal planning - Hospice Support: Home care, medication management, personal care, and respite care - Nurse Directed Care: Catheter care, incontinence care, medication administration, oxygen therapy, and vital sign tracking - Personal Care: Bathing/bathroom assistance, dressing, grooming, and mobility assistance - Transportation: Providing rides to various appointments and activities

- Home Health Aide including personal care, minimal light housekeeping, and meal preparation - Home nursing including diabetic management and teaching, physical assessment, and lab draws for bloodwork - Homemaking services - IV therapy - Physical, speech, and occupational therapies can be arranged

- Case management and referrals for programs such as Meals on Wheels, social services - Door-to-door transportation mostly for health related appointments or for hair salons/barbershop appointments. Clients must be able to transfer into the car on their own. Escort services may also be available, but these requests must be made far in advance. - Homemaking, yard work and home maintenance services - Nursing care - Personal care - Senior exercise classes are offered daily; transportation available. - Social outings - Speakers on senior health topics - Support for caregivers of seniors who live in the service area, and for caregivers who live in the service area even if the cared-for senior lives elsewhere, including out of state.

Provides basic and in home support services for older adults and people with disabilities in their homes or in a community setting to ensure the health and safety of the person and maintain their independence within the community. Basic Support Services - Individual community living supports (ILCS): For people who need reminders, cues intermittent/moderate supervision, or physical assistance to remain in their own homes. - 24-hour emergency assistance: On-call counseling and problem-solving and/or immediate response for assistance at a person's home due to a health/personal emergency. - Companion services: Non-medical care, supervision and socialization to a person age 18 or older. - Night supervision: Provides overnight assistance and monitoring by an awake staff in the person's home. - Respite care services: Short-term care due to the absence or need for relief of the family member(s) or primary caregiver normally providing the care. Intensive Support Services - Positive support services: Services to increase positive behavior and decrease or eliminate severe, challenging behavior. - Specialist services: Services designed to promote staff and caregiver competency to meet a person's needs in eligible areas. - Independent living skills training: Services that develop, maintain and improve the community-living skills of a person. - Semi-independent living skills: Services needed by an adult with a developmental disability or related condition(s) to live successfully in the community. - Residential-based habilitation: Including in-home family support and supported living services for adults in their own home: Supported living services provided in a licensed site, including a foster care home, a community residential setting, or a supervised living facility.

Provides the following PCA services: - Homemaker service ??- Independent living skills training - Personal home care assistance - Respite care?- Independent living skills training

Contract for services with local providers: - Home health aides - Homemakers provide homemaking assistance which may include light housekeeping, laundry, grocery shopping, and running errands - Skilled nurse visits to provide technical procedures, assessments, appropriate interventions, teaching, and medication monitoring

Senior Community Service Employment Program (SCSEP) - Employment opportunities for persons 55 and older who are economically disadvantaged and seeking employment - Job search skills, job development, and community service training Minnesota Indian Area Agency on Aging - Advocacy, outreach, training and technical assistance - Transportation and homemaker services - Congregate dining and home delivered meals grants - Legal services and legal education - Nutrition support and health protection - Annual conference Title VI Nutrtion and Supportive Services - Congregate and home delivered meals - Nutrition information

Offers traditional home care services. Services are flexible and designed to meet client needs. - Assisting with ambulation and helping to prevent falls - Bathing, toileting, and grooming - Cleaning the bathroom and kitchen after use, washing dishes after meals, and mopping the floor - Cleaning the client's home, which includes dusting and vacuuming - Driving and/or accompanying the client to the physician when necessary - Going on walks and encouraging and participating in stimulating activities - Helping with correspondence to family and friends - Making and changing the bed - Medication management - Preparing and serving meals according to the client's dietary needs - Providing hygiene assistance - Providing respite for family caregivers - Providing socialization, friendship, and support for the client - Reminding clients to take their medication - Shopping and performing other household errands - Taking care of personal laundry and bed linens for the client

Individualized Home Supports with Family Training - Services for people who live in their family home that provide support and/or training in the following community living service categories: - Community participation - Health, safety, and wellness - Household management - Adaptive skills *Designed to provide training to the person as well as their family members Individualized Home Supports with Training - Services for people who live in their own home or family home that provide support and/or training in the following community living service categories: - Community participation - Health, safety, and wellness - Household management - Adaptive skills - Formal person-centered outcomes - Completion of skill assessments *Designed for adults in need of support and training in one of the above-mentioned service categories. Individualized Home Supports without Training - Services for people who live in their own home or family home that provide support in the following community living service categories: - Community participation - Health, safety, and wellness - Household management - Adaptive skills - Complimentary support plan (SP) - Informal and formal person-centered outcomes *Designed for adults or children who require support in one of the above-mentioned service categories. Specialist Services - Provision services that extend past the scope and duration of available waiver and state plan services including: - Assessments/individual program plan and program development - Training and supervision of staff - Monitoring of specific program implementation Respite - Short-term care services provided to a person when their primary caregiver is absent or needs relief. Services include: - In-home respite: Service is provided to a person in their home or the family home. - Out-of-home respite: Service is provided to a person in a licensed or unlicensed setting that is not the person's home. - Respite level A: Active, out in the community - Respite level B: Stay at home and local outings only - Respite level C: Sleep in - Respite level D: 24-hour period Homemaker Services - Services that help a person manage general cleaning and household activities. Services include: - Cleaning: light housekeeping tasks, laundry services - Home management: cleaning, transportation arrangement, meal preparation, shopping for food, and household items - Assistance with ADLs: cleaning, assistance with ADLs (ambulating, bathing, dressing, eating, grooming, toileting) *Training is not covered under this service. To receive homemaker services, homemaker cleaning must be the primary service provided. County-Funded Semi-Independent Living Services (SILS) - Services needed to maintain and improve an adult's capacity to live in the community. Supports people in ways that enable them to achieve personally desired outcomes and lead self-directed lives including: - Money management - Meal preparation - Shopping - Obtaining and maintaining a home - Self administration of medication - Formal skill building

Provides resources for older adults living alone as well as caregivers needing support. Services are designed to help maintain independence as long as feasible. Home-based services are provided according to the availability of volunteers and staff: - Homemaking: Indoor light housekeeping services include mild laundry services, floor care, kitchen/bathroom cleaning, and other indoor help. Light "fix it" services (i.e., changing light bulbs, smoke detector batteries, etc.), meal preparation, menu planning, picking up groceries and medications, help with organizing bills, etc. Supportive programs: - Caregiver Consulting: Helps caregivers manage and live their lives while caring for another person, develop individualized plans, and connect with resources in the community - Caregiver Support Groups: Professionally facilitated, confidential environment for caregivers to share concerns, feelings regarding their role as caregiver, and to learn from each other

Provides resources for older adults living alone as well as caregivers needing support. Services are designed to help maintain independence as long as feasible. Home-based services are provided according to the availability of volunteers and staff: - Homemaking: Indoor light housekeeping services include mild laundry services, floor care, kitchen/bathroom cleaning, and other indoor help. Light "fix it" services (i.e., changing light bulbs, smoke detector batteries, etc.), meal preparation, menu planning, picking up groceries and medications, help with organizing bills, etc. Supportive programs: - Caregiver Consulting: Helps caregivers manage and live their lives while caring for another person, develop individualized plans, and connect with resources in the community - Caregiver Support Groups: Professionally facilitated, confidential environment for caregivers to share concerns, feelings regarding their role as caregiver, and to learn from each other

Medical and non-medical home care services: - Assistance with bathing and dressing - Caregiver support - Clothing selection assistance - Companionship - Laundry ??- Light housekeeping ?- Light meal preparation - Medication reminder ?- Skilled nursing services - Transitional outpatient care ??? - Transportation and running errands

Provides the following services: - Case management - Home health aides - Home nursing care - RN and LPNs - Homemaker services - Independent Living Services (ILS) - Occupational therapy - Personal care attendant - Physical therapy - Private duty nurses - Speech therapy - Supervision between patient and doctor and family - Visiting nurse services