245D Services

Our 245D program is a licensed Home and Community Based Program, providing Basic Services in a manner that supports the individual’s preferences, daily needs, and activities needed to accomplish their personal goals.

Individuals will have the opportunity for the development and exercise of decision making, choice, and personal advocacy to support their desires of who will support them and how they are supported by using a person centered approach. The person receiving services and the guardian work together to identify what is important to and for the individual which includes recruitment and selection of qualified workers; such as family members, friends, co-workers, and neighbors.

Mark Your Home Health Care provides a basic level of assistance, supervision, and care that is necessary to ensure the health and safety of the person served and does not include services that are specifically directed toward the training, treatment, habilitation, or rehabilitation. The 245D program offers services that include:

Basic support services include:

This program provides 24 hour on-call support for individuals living independently in their own homes. Mark Your Home Health Care provides a plaque within each person’s room that has emergency phone numbers to call any time. The support can range from counseling and problem solving remotely to more emergency and immediate assistance that may require dispatched onsite personnel. In addition to providing an additional level of support for our residents, this also helps to minimize 911 calls and ER visits.

The purpose of companionship care is to offer company and friendship. Companions may help with certain household chores, such as laying out towels before a shower, but their primary purpose is to spend time with the patient. Grown children may want to hire companions to keep an eye on their aging parents, for example. Some of the services offered by companionship care include:

 Transportation

  • Reading a book aloud
  • Playing games
  • Accompanying the patient for a walk outside
  • Letter writing
  • Monitoring the home

With age or injury, daily household activities and chores can become difficult for older adults. When you choose homemaker services, you’re choosing someone to take care of the little things — freshly prepared meals, no obstacles in the hallways to trip over, and clean clothes to wear. If you’re looking into homemaking services, help usually means an extra hand with daily tasks. Homemaker services for the elderly, seniors, and disabled adults can be a full-time role, or it can be a few hours a week as added support for family caregivers. Your time with your family is precious, and you shouldn’t have to spend it doing chores!

 

Responsibilities of a Homemaker

The responsibilities of a professional homemaker include a long list of homemaking skills. Homemaker duties include, but are not limited to the following:

  •  Meal planning and prep
  •  Washing dishes
  •  Light housekeeping (vacuuming, dusting)
  •  Laundry and linens
  •  Making/changing the bed
  •  Helping with organization
  •  Running errands
  •  Grocery shopping
  •  Travel accompaniment to appointments
  •  Accompaniment on trips
  •  Pet care (available in select locations)
  •  Plant care
  •  Plant care
  •  And many more!

All services provided will be in accordance with and following the Individualized Plan of Service (IPOS) and Support Needs Worksheet. These outline the independent living skills that have been identified as medically necessary to gain or maintain independence.

We focus on the development of individual living skills in the areas of:

  • Meal prep and planning
  • Routine household tasks
  • Laundry
  • Self-care
  • Shopping
  • Money management
  • Medication management
  • Socialization and relationship building
  • Community integration and leisure choice development
  • Self-advocacy
  • Health and safety skills
  • Community calendar for group activities

In a conscious effort to create and foster independence, all skills are completed alongside or with the individual, and never done for them. The provision of staffing is tailored to the needs outlined in the IPOS.

Night Supervision is a Brain Injury (BI) waiver service of overnight assistance and monitoring in the home of a person for a period of no more than twelve (12) hours in a 24-hour period.

Night supervision carries out behavior programming and plans as they relate to the living skills and interventions of the person and include the following:

  • Reinforcing independent living skills
  • Assisting with incidental daily activities

Night Supervision Services

We specialize in skilled nursing, home health aides, professionally supervised personal care, homemaking and 24-hour live-in services for the disabled, elderly and those recovering from injuries or illness. We provide the additional help that is needed to allow individuals to remain living independently in the comfort of their own home. Whether you need a few hours or 24 hours a day, our professional support staff is ready to serve you.

We accept:

  • Private Pay
  • Medical Assistance
  • Long-Term Care Insurance

Our support specialists will work with your schedule to meet your healthcare needs by coordinating with your physician and medical team to implement an individualized care plan for you.

Personal support is a way to provide supervision and assistance to an individual, either in his or her home or in the community, in order for the person to meet his or her goals. Community Involvement Programs (CIP) works with families and individuals using personal support services to hire staff and implement the plan for supervision and assistance.

Personal support is a service available under the Developmental Disabilities (DD) waiver, Brain Injury (BI) waiver, Community Alternative Care (CAC) waiver, and the Community Access Disability Inclusion (CADI) waiver. Goals included in a service plan sometimes require training in order for the person to achieve the desired outcome. Some outcomes can be met by ongoing supervision and assistance instead of training.

  • In-Home Respite for BI, CADI, CAC, EW and DD waiver plans
  • Out-of-Home Respite for BI, CADI, CAC, EW and DD waiver

 

Caring for your parent, sibling, spouse or loved one is no small task. You’ve sacrificed yourself to care for the one you love, and that’s why you deserve time to relax and rejuvenate. Our caregivers offer that relief, allowing you to grab coffee with a friend, catch a movie with your spouse, or even take a much-needed nap. Knowing, your loved one is being cared for, allowing your mind, body and soul to recover.

Depending on your needs, as well as those of your loved one, a respite care worker will come to your home for a few hours. These visits could be once a week, or three times per week. You can use this time to rest and recover.

When you call Mark Your Home Health Care, one of our respite care professionals will visit your home and provide you with a free assessment to determine your needs, as well as those of your loved one. Our professionals are very flexible and will partner with you to determine the best schedule for respite care. 

Intensive support services include:

Service to increase positive behavior and decrease or eliminate severe, challenging behavior.

Behavioral support covered the following services:

Completion of an individualized functional assessment of target behaviors

  • Development of a positive behavior support plan that may also include specific reactive or emergency strategies
  • Implementation of the plan
  • Training and supervision of caregivers and behavior staff, as needed, to implement the plan
  • Reassessment and modification of the plan periodically.
Positive Behavior Support accomplishes the following:
 
  • Understand why the behavior is happening
  • Teach the individual how to act more appropriately
  • Improve the individual’s quality of life
 

Specialist Services covered by the Developmental Disability (DD) waiver are designed to promote staff and caregiver competency to benefit the needs of a specific person on a DD waiver.

Specialist services are designed to meet the following needs of a person on a DD waiver: 

  • Augmentative and Alternative Communication (AAC) technology use and techniques
  • Behavior management 
  • Functional motor skills 
  • Independent living skills 
  • Personal health 
  • Social, leisure and recreational skills

Specialist services include:

  • Assessments
  • Evaluation of service outcomes identified in the person’s care plan
  • Monitoring of specific program implementation
  • Program development
  • Training and supervision of staff and caregivers

Crisis Respite services provide short-term care and crisis intervention to a person on Brain Injury (BI), Community Access for Disability Inclusion (CADI) or Developmental Disabilities (DD) waiver who is experiencing a medical or behavioral crisis.

Crisis Respite services offer relief and support:

  • For the caregiver, and
  • To protect the person during the crisis (or to protect other people living with the person)

Crisis Respite services include:

  • Assessment of what led to the crisis
  • Creation of a plan (with the service planning team) to help end the crisis and to keep the person safe
  • Consultation and training for caregivers as needed
  • Recommendations for service changes to prevent or minimize future crisis

Creation of a transition plan to help the person return home if they are in out-of-home Crisis Respite

Crisis Respite may only be provided by a Minnesota Statute 245D intensive support provider.

Out-of-home Crisis Respite is currently limited to 21 days, but the lead agency may authorize an extension if the person needs more time for stabilization before returning home or transitioning to a new home.

Mark Your Home Health Care’s Independent Living Skills Services program offers training, care, and supervision to families and caregivers who have children or adults with disabilities living in their homes or in foster care settings. Independent Living Skills Services are centered in the consumer’s home and in the community, as designed by the consumer, family, and case manager.

Our staff members meet with the consumer, family, case manager, and other interdisciplinary team members regularly so that expectations can be understood and met. It always has been a priority for Mark Your Home Health Care to provide Independent Living Skills Services as conservative as possible, by respecting the family culture, tailoring the program to family and consumer needs, and being flexible in individual schedule design.

Our Independent Living Skills Services program supports families in caring for family members so that they are able to remain in their family homes. We have designed these services to honor each family’s routines, values, and hopes for their loved ones, while providing those we serve with goals and activities that foster as much independence as possible.

Developing a Plan

We offer a person-centered planning approach to all of our consumer’s needs assessments. We are committed to getting to know the values of each person we serve. This consumer-directed approach to goal development allows individuals to realize their dreams.

We work closely with the people who know our consumers best, including their family members, spouses, friends, extended family, case managers, and primary care givers in order to develop the most comprehensive, meaningful plan to assist our consumers with attaining lifelong outcomes. These planning methods may include “Planning Alternative Tomorrows with Hope” (PATH) or “Essential Lifestyle Planning” (ELP).

Training and Services

The primary purpose of the Independent Living Skills Services program is to support consumers as they develop to their fullest potential, achieving the most normal lifestyle possible. Independent Living Skills Services are directed at the development and maintenance of community living skills and community integration. Services may include supervision, training, or assistance in self-care, communication skills, socialization, sensory / motor development, reduction or elimination of maladaptive behavior, community living and mobility. Our staff members reinforce achievement through praise to the consumer in a predictable, positive environment.

The Independent Living Skills Service program also provides assistance in supporting the consumer through administering medications, coordinating medical / psychiatric appointments, providing transportation, crisis intervention, assisting with housing issues, and making referrals to other professional services needed.

Mark Your Home Health Care customize Individual Support Services to assist and train your loved one with adaptive skills necessary to function successfully in the home and community. Individual support services are behavioral, self-care and habilitative related tasks performed and/or supervised by service provider staff in a your home, the home of a relative or in other community-based settings, in accordance with approved treatment plans.

Mark Your Home Health Care’s Individualized home supports (IHS) provide support and training in community living service categories for a person who lives in his/her own home. IHS can be provided in the person’s own home or in public community settings and either in person or remotely.

Support for IHS: A staff member providing direct supervision, cueing, maintenance, guidance, instruction, incidental assistance with activities of daily living or assistance with coordination of community living activities.

Training for IHS: Instructional services through which a person receives direct training from a staff member on community living skills identified in an individual assessment. Training includes skill building to acquire, retain and improve the person’s experience living in the community.

Individualized home supports require a person receives training in one or more community living service categories. In addition to the training requirement, individualized home supports may provide support in any of the community living service categories.

The community living service categories are:

• Community participation

• Health, safety and wellness

• Household management

• Adaptive skills.

Community participation

This community living service category may include, but is not limited to:

  • Community mobility and pedestrian safety
  • Community resource utilization and access
  • Community safety and awareness
  • Interpersonal communications skills
  • Leisure, recreation and socialization planning
  • Natural support system and network development
  • Skill building to meet transportation needs.

Health, safety and wellness

This community living service category may include, but is not limited to:

  • Collaboration to arrange health care, meaningful activities, social services, meetings and appointments
  • Cueing, guidance, supervision, training or instructional support to complete self-cares (Cannot duplicate use of eligible MA state plan home care services. See CBSM – Home care overview)
  • Health services support as defined in Minnesota Statute 245D
  • Resilience strategies and skills
  • Support strategies to reach health, safety and wellness goals.

Household management

This community living service category may include, but is not limited to:

  1. Cueing, guidance, supervision, training or instructional support to complete routine household cares and maintenance
  2. Household safety knowledge and skills
  3. Tenancy support and advocacy
  4. Training, assistance, support and/or guidance with:
  • Budgeting and assistance to manage money
  • Cooking, meal planning and nutrition
  • Healthy lifestyle skills and practices
  • Household chores, including minor household maintenance activities (the cost of the maintenance replacement item[s] or product[s] is the responsibility of the person)
  • Personal needs purchasing.

Adaptive skills

This community living service category may include, but is not limited to:

  • Crisis prevention skills
  • Development and implementation of adaptive support strategies for self-sufficiency
  • Implementation of positive support strategies
  • Problem solving
  • Reduction/elimination of maladaptive behavior
  • Sensory/motor development involved in acquiring functional skills
  • Transitioning to community living.

Services include training and assistance in independent living skills for adults with developmental disabilities or related conditions.

The goal of SILS is to support people in ways that will enable them to achieve personally desired outcomes and lead self-directed lives in the community.

Services provided may include training and assistance in:

  • First aid and obtaining assistance in an emergency
  • Learning and exercising rights and responsibilities of community living
  • Meal planning and preparation
  • Obtaining and maintaining a home
  • Personal appearance and hygiene
  • Self-administration of medication
  • Shopping
  • Social, recreation and transportation skills, including appropriate social behavior
  • Using the phone and other utilities
  • Managing money
  • Engaging in activities that make it possible for adults with developmental disabilities or related conditions to live in the community

SILS services are funded by counties and the Minnesota Department of Human Services Disability Services Division.

In-home family support

In-home family support on the DD Waiver are services provided to a person and his/her family (including extended family members who do provide licensed foster care) in the family’s home and/or in the community to enable the person to remain in or return to the home. This includes training of the person and family members to increase their capabilities to care for and maintain the person in the home.

We support people of all ages living in their own homes or in their family home, placing strong emphasis on skill building and community involvement. Whether you require assistance one hour a day or just an hour a week, our goal is to design a plan based on your personal dreams.

Assistance provided by In-Home Support Services

  • Meal planning and preparation, including nutrition education
  • Obtaining and maintaining a home
  • Budgeting, paying bills and gaining financial skills
  • Personal appearance and hygiene
  • Independently taking medication
  • Shopping
  • Participating in the community in which you live
  • Accessing transportation and options for greater mobility

We work closely with you, your family, legal representative and your support network to develop a customized support plan based on your skills, interests and dreams. Your support plan is reviewed and revised as you gain new skills and your interests and dreams change.

Staff Training

All staff are trained in CPR, First Aid, the Vulnerable Adult/Maltreatment of Minor Act, and Person Centered Thinking. In addition, staff receives ongoing, specialized training based on the physical and emotional needs of each individual we support.

Supported Living Services

This program focuses on adults with developmental disabilities who are able to move into an independent living environment. Emphasis is placed on teaching daily living skills concerning the transition to an independent life, including instruction on leasing an apartment, cooking and cleaning, laundry, budget, mobility and public transportation. We offer continued support, encouragement and problem solving to enable the client to retain this independent status.