245d Waivered Services – Hero Homecare

245Ds 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 waivered 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, 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, 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 navigating community programs and building 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.

At Hero Homecare, we understand how challenging it can be to find the right support for overnight needs. Everyone deserves to feel safe, supported, and respected in the comfort of their own home — day and night.

Our trained and caring team provides reliable 24-hour assistance and overnight supervision for individuals with diverse support needs, including:

Individuals with Cerebral Palsy – Support with mobility, transfers, positioning, and personal care throughout the night.
Individuals with Autism or Down Syndrome – Help with daily living routines, calming strategies, and behavioral support to ensure a safe, peaceful environment.
Individuals with Cognitive Impairments – Guidance with safety awareness, decision-making, memory prompts, and medication reminders
Individuals with Visual or Hearing Impairments – Assistance with communication, nighttime navigation, and personal care tasks.

Person-Centered Support Through the Night

At Hero Homecare, we know that no two individuals have the same needs. Our overnight care plans are customized to provide exactly what each person requires — whether it’s personal care, supervision for safety, nighttime reassurance, medication reminders, or ongoing communication support.

You or your loved one can rest comfortably, knowing a compassionate professional is there all night to help.

At Hero Homecare, we believe that a clean, organized, and comfortable home is key to living well. Our homemaker services are designed to support individuals with disabilities in maintaining a safe, healthy, and independent home environment. Our caregivers provide dependable assistance with everyday household tasks, helping each person feel confident and supported at home.

Who Can Benefit?

Our Homemaker Services are ideal for:

Individuals with Physical Disabilities – Who may experience challenges with mobility, lifting, bending, or managing routine household tasks.
Individuals with Cognitive Disabilities – Who may need help with organization, reminders, maintaining routines, and ensuring a safe living space.
Individuals with Sensory Disabilities – Who may struggle with tasks requiring strong visual or auditory cues and need support staying organized and safe.
Individuals with Developmental Disabilities – Who benefit from guidance in building essential daily living skills like cooking, cleaning, and basic home management.

Our Homemaker Services Include

Light Housekeeping

Dusting, sweeping, mopping
Cleaning bathrooms and keeping living areas tidy

Laundry Assistance

Washing, drying, folding, and ironing clothes

Meal Preparation Support

Grocery shopping assistance
Meal planning and preparation of simple, nutritious meals

Home Organization & Management

Decluttering and organizing
Setting up accessible, safe, and easy-to-maintain home spaces

Caring for a loved one is meaningful, but it can also be physically and emotionally demanding. At Hero Homecare, we recognize the importance of caregiver well-being. Our respite care services provide the break you need to rest, recharge, and take care of yourself — all while ensuring your loved one continues to receive exceptional, compassionate care.

Who can benefit?

Our Respite Care Services support:

Family Members & Friends Providing Care – Individuals caring for someone with physical, cognitive, developmental, or sensory disabilities.
Caregivers Experiencing Stress or Burnout – Those feeling overwhelmed, fatigued, or emotionally drained from daily caregiving responsibilities.
Caregivers Who Need Time for Personal Matters – Whether it’s appointments, errands, work, or simply taking a moment to breathe, we’re here to help

What Our Respite Care Services Provide

Temporary Relief for Caregivers

Take a few hours, a full day, a weekend, or a longer break — knowing your loved one is being supported by trained professionals.

Personalized, Compassionate Care

Our caregivers are skilled in meeting each individual’s unique needs, ensuring safety, comfort, and consistency while you’re away.

Complete Peace of Mind

Feel confident that your loved one is receiving attentive, high-quality care right in the comfort of their home, allowing you to focus on your own well-being.

Life can be unpredictable — especially for individuals who require ongoing support. At Hero Homecare, we provide reliable 24/7 emergency assistance to ensure immediate help is always available when unexpected situations arise. Whether it’s a medical concern, a behavioral crisis, or a safety issue, our team is here to respond with care, clarity, and confidence.

Who Can Benefit?

Our emergency assistance services are ideal for:

Individuals with Disabilities – Who may face sudden medical issues, behavioral challenges, or safety risks.
Families Needing Immediate Support – Loved ones of individuals with disabilities who require quick guidance during stressful moments.
Caregivers in Crisis Situations – Caregivers who need fast, reliable assistance and support when handling urgent concerns.

Our 24/7 Emergency Services Include

On-Call Support from Designated Coordinators

Trained professionals available day and night to offer immediate direction, reassurance, and solutions.

Crisis Problem-Solving & Guidance

Assistance with navigating emergencies, connecting with critical resources, and creating an action plan in real time.

Immediate Response to Urgent Situations

Support with coordinating emergency medical services, notifying family members, and activating crisis intervention plans when needed.

With Hero Homecare, you can feel secure knowing help is available — anytime, day or night.

Individual Community Living Supports (ICLS) at Hero Homecare are designed to help adults with disabilities maintain their independence while living in their own homes or community-based settings. Our goal is to provide personalized support that improves daily living, enhances safety, and encourages meaningful participation in community life.
We focus on empowering each individual to live confidently, comfortably, and as independently as possible.

Who Can Benefit?

ICLS is ideal for adults who:

Want to remain living independently in their home or community
Need support with daily activities, routines, or safety
Have physical, cognitive, developmental, or sensory disabilities
Benefit from a combination of skills training, supervision, and assistance

What Our ICLS Services Include

Assistance with Activities of Daily Living (ADLs)

Support with personal care tasks such as:

Grooming
Dressing
Bathing
Meals and eating
Mobility and transfers

Support with Household Tasks

Community Participation & Engagement

Health, Safety & Wellness Monitoring

Skills Training for Greater Independence

Support with Scheduling & Appointments

Why Choose Hero Homecare for ICLS?

At Hero Homecare, we believe independence looks different for every person — and our approach reflects that.
We provide:

Customized care plans tailored to unique goals
Compassionate, trained staff who build trust and confidence
Flexible support that adapts as needs change
A genuine focus on dignity, respect, and personal growth

Adult companion services: Non-medical care, supervision and socialization provided to help an older adult work toward a therapeutic or community integration goal in their support plan.

Adult Companion Services

Our Adult Companion services are designed to support individuals in staying active, connected, and working toward their personal goals. Companions meet with the person either in-home or out in the community and provide gentle guidance, encouragement, and supervision.

Examples of what an Adult Companion can help with:

Spending time together in the community, such as going to a movie, to help practice coping skills and reduce anxiety
Attending events or outings to help decrease feelings of isolation
Playing games or doing activities that support focus, coordination, or fine motor skills
Offering reminders, cues, or step-by-step prompts to help the person complete tasks
Assisting or supervising with simple chores like laundry, light cleaning, meal prep, and organizing
Shopping together to work on budgeting or planning skills

Important: Adult Companions can assist with household tasks only when those activities are part of a therapeutic goal or a community-integration goal. They cannot perform housekeeping or meal prep as their own separate service.

Individualized Home Support Services

1. Essential Support (Without Training)

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

Activities of Daily Living (ADLs)

Personal hygiene, bathing, 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, household tasks
Guidance with money management and basic routines

2. 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 navigating community programs and building support networks

3. 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.

Night Supervision Services

Our trained and caring team provides reliable 24-hour assistance and overnight supervision for individuals with diverse support needs, including:

Individuals with Cerebral Palsy – Support with mobility, transfers, positioning, and personal care throughout the night.
Individuals with Autism or Down Syndrome – Help with daily living routines, calming strategies, and behavioral support to ensure a safe, peaceful environment.
Individuals with Cognitive Impairments – Guidance with safety awareness, decision-making, memory prompts, and medication reminders
Individuals with Visual or Hearing Impairments – Assistance with communication, nighttime navigation, and personal care tasks.

Person-Centered Support Through the Night

You or your loved one can rest comfortably, knowing a compassionate professional is there all night to help.

Homemaker Services

Who Can Benefit?

Our Homemaker Services are ideal for:

Individuals with Physical Disabilities – Who may experience challenges with mobility, lifting, bending, or managing routine household tasks.
Individuals with Cognitive Disabilities – Who may need help with organization, reminders, maintaining routines, and ensuring a safe living space.
Individuals with Sensory Disabilities – Who may struggle with tasks requiring strong visual or auditory cues and need support staying organized and safe.
Individuals with Developmental Disabilities – Who benefit from guidance in building essential daily living skills like cooking, cleaning, and basic home management.

Our Homemaker Services Include

Light Housekeeping

Dusting, sweeping, mopping
Cleaning bathrooms and keeping living areas tidy

Laundry Assistance

Washing, drying, folding, and ironing clothes

Meal Preparation Support

Grocery shopping assistance
Meal planning and preparation of simple, nutritious meals

Home Organization & Management

Decluttering and organizing
Setting up accessible, safe, and easy-to-maintain home spaces

Respite Care Services

Who can benefit?

Our Respite Care Services support:

Family Members & Friends Providing Care – Individuals caring for someone with physical, cognitive, developmental, or sensory disabilities.
Caregivers Experiencing Stress or Burnout – Those feeling overwhelmed, fatigued, or emotionally drained from daily caregiving responsibilities.
Caregivers Who Need Time for Personal Matters – Whether it’s appointments, errands, work, or simply taking a moment to breathe, we’re here to help

What Our Respite Care Services Provide

Temporary Relief for Caregivers

Take a few hours, a full day, a weekend, or a longer break — knowing your loved one is being supported by trained professionals.

Personalized, Compassionate Care

Our caregivers are skilled in meeting each individual’s unique needs, ensuring safety, comfort, and consistency while you’re away.

Complete Peace of Mind

Feel confident that your loved one is receiving attentive, high-quality care right in the comfort of their home, allowing you to focus on your own well-being.

24-Hour Emergency Assistance

Who Can Benefit?

Our emergency assistance services are ideal for:

Individuals with Disabilities – Who may face sudden medical issues, behavioral challenges, or safety risks.
Families Needing Immediate Support – Loved ones of individuals with disabilities who require quick guidance during stressful moments.
Caregivers in Crisis Situations – Caregivers who need fast, reliable assistance and support when handling urgent concerns.

Our 24/7 Emergency Services Include

On-Call Support from Designated Coordinators

Trained professionals available day and night to offer immediate direction, reassurance, and solutions.

Crisis Problem-Solving & Guidance

Assistance with navigating emergencies, connecting with critical resources, and creating an action plan in real time.

Immediate Response to Urgent Situations

Support with coordinating emergency medical services, notifying family members, and activating crisis intervention plans when needed.

With Hero Homecare, you can feel secure knowing help is available — anytime, day or night.

Individual Community Living Supports (ICLS)

Who Can Benefit?

ICLS is ideal for adults who:

Want to remain living independently in their home or community
Need support with daily activities, routines, or safety
Have physical, cognitive, developmental, or sensory disabilities
Benefit from a combination of skills training, supervision, and assistance

What Our ICLS Services Include

1. Assistance with Activities of Daily Living (ADLs)

Support with personal care tasks such as:

Grooming
Dressing
Bathing
Meals and eating
Mobility and transfers

2. Support with Household Tasks

Helping individuals maintain a safe and organized home:

Light housekeeping
Laundry
Meal preparation
Home organization
Basic cleaning routines

3. Community Participation & Engagement

Encouraging individuals to stay active in their community through:

Support with transportation
Assistance attending appointments and activities
Help accessing community programs, social events, and resources

4. Health, Safety & Wellness Monitoring

Helping individuals stay safe and healthy in their daily lives:

Medication reminders
Safety checks
Wellness monitoring
Guidance on healthy routines and habits

5. Skills Training for Greater Independence

Hands-on coaching to help individuals learn and strengthen essential life skills, such as:

Cooking and meal planning
Budgeting and money management
Communication skills
Problem-solving and decision-making
Home and time management

6. Support with Scheduling & Appointments

Assistance organizing daily routines
Help coordinating appointments, activities, and personal tasks
Keeping individuals on track with their goals and responsibilities

Why Choose Hero Homecare for ICLS?

At Hero Homecare, we believe independence looks different for every person — and our approach reflects that.
We provide:

Customized care plans tailored to unique goals
Compassionate, trained staff who build trust and confidence
Flexible support that adapts as needs change
A genuine focus on dignity, respect, and personal growth

Adult Companion

Adult companion services: Non-medical care, supervision and socialization provided to help an older adult work toward a therapeutic or community integration goal in their support plan.

Adult Companion Services

Examples of what an Adult Companion can help with:

Spending time together in the community, such as going to a movie, to help practice coping skills and reduce anxiety
Attending events or outings to help decrease feelings of isolation
Playing games or doing activities that support focus, coordination, or fine motor skills
Offering reminders, cues, or step-by-step prompts to help the person complete tasks
Assisting or supervising with simple chores like laundry, light cleaning, meal prep, and organizing
Shopping together to work on budgeting or planning skills

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 off 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 a 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?

Need Trusted Home Care Support Now?

Let Hero Homecare, be your partner in providing comfort, care, and peace of mind.

Call us today to discuss your needs and discover
how we can support your loved one.

Schedule a Free Consultation

245Ds Waivered Service

Eligibility for 245D Services

Call us today to discuss your needs and discover how we can support your loved one.

Call us today to discuss your needs and discover
how we can support your loved one.