FAQ

PCAs can help you with covered services including:

• Dressing
• Grooming/hygiene
• Bathing
• Eating
• Transfers
• Mobility
• Positioning
• Toileting
• Health-related procedures and tasks
• Observing and redirecting behaviors

For adults, PCA may also help with instrumental activities of daily living such as:

• Meal planning and preparation
• Basic assistance with paying bills
• Shopping for food, clothing and other essential items
• Performing household tasks integral to PCA services
• Communication by telephone and other media
• Traveling to medical appointments and community events

PCAs can assist children with instrumental activities of daily living (IADL) ONLY under the following conditions:

• Light housekeeping and laundry for health and hygiene reasons integral to PCA services
• Sole benefit of the child
• Listed on the PCA assessment and service plan

Under the direction of you or your responsible party, your PCA can:

    • Remind you to take your medications
    • Bring you your medication
    • Assist with opening medication

PCAs cannot:

    • Decide your need for medication
    • Set
    • up your medication
    • Evaluate the effectiveness of your medication
    • Inject medications

PCAs cannot:

  • Assist with sterile procedures
  • Inject fluids and medications into veins, muscles or skin
  • Complete home maintenance or chore services
  • Complete homemaker services that are not an integral part of assessed needs
  • Apply restraints
  • Assist with most instrumental activities of daily living for children under 18
  • Provide services in lieu of other staffing options in a residential or childcare setting
  • Cannot work solely as a childcare or babysitting service
  • Provide services in the PCA’s home
  • Sleep on the job

Independent Living Skills (ILS) is designed to help people with mental disabilities, mental health conditions or chronic illnesses to gain independence. ILS workers are trainers who work one on one with a person to increase their skills. This program is similar in scope to In-Home Family Supports, but is designed for persons receiving CADI services. Some of the skills that we work on as part of the ILS program:

  • Managing health care
  • Communication skills
  • Self-Care
  • Financial Management
  • Accessing transportation
  • Social Skills
  • Safety Skills
  • Meal Planning and Nutrition
  • Community living and mobility
  • Reduction/elimination of maladaptive behavior
  • Sensory/motor development involved in acquiring functional skills.

Services that help a person work toward a therapeutic or community integration goal in his/her support plan.

The adult companion may:

  • Attend a movie with the person to practice coping skills to manage his/her social anxiety
  • Go with the person to a community event to reduce his/her social isolation
  • Play a board game with the person to enhance his/her fine motor skills
  • Provide verbal instructions or cues to the person to help him/her complete a task
  • Assist or supervise the person with tasks such as laundry, light housekeeping, meal preparation and shopping 


Services that help a person manage general cleaning and household activities. There are three homemaker services:

  • Homemaker/cleaning
  • Homemaker/home management
  • Homemaker/assistance with activities of daily living (ADLs)

A Homemaker may provide any of the three types of homemaker services (cleaning, home management or assistance with activities of daily living [ADLs]).

All homemaker providers may monitor the person’s well-being while in the home, including home safety.

Homemaker/Cleaning

Homemaker/cleaning services include light housekeeping tasks.
Homemaker/cleaning providers deliver home cleaning and laundry services.

Home management

Homemaker/home management providers deliver home cleaning services and, while onsite, provide assistance with home management activities as needed. Home management activities may include assistance with:

  • Arranging for transportation
  • Laundry
  • Meal preparation
  • Shopping for food, clothing and household supplies
  • Simple household repairs.

Assistance with ADLs

Homemaker/assistance with ADLs providers deliver cleaning services and, while onsite, provide assistance with ADLs as needed. Assistance with ADLs includes assistance with the following:

  • Ambulating
  • Bathing
  • Dressing
  • Eating
  • Grooming

Services provided to a person and his/her family (including extended family members) 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.

Include assistance to develop, maintain or improve skills related to activities of daily living, such as:

  • Bed-making and household chores
  • Eating and the preparation of food
  • Personal grooming and cleanliness
  • Social and adaptive skills necessary to enable the person to reside in a non-institutional setting, including community participation
  • Health, safety and wellness
  • Household management.

Does not cover:

  • Routine care and supervision expected to be provided by a family member or spouse
  • Activities or supervision for which a payment is made by a source other than Medicaid.
  • Services duplicated by other Minnesota state plan or waiver services
  • Services provided by families (including extended family members) who are licensed to provide foster care.

Services provided in the person’s home or community to:

  • Achieve his/her full potential
  • Increase his/her independence
  • Meet community inclusion goals that are important to and important for the person and based on an assessed need.

Services include supervision, support or assistance with:

  • Activities of daily living (ADLs)
  • Accessing community services
  • Developing meaningful connections with community members
  • Establishing new relationships and nurturing existing ones
  • Participating in community activities of the person’s choosing.
  • Services provided one-on-one with the person outside of his/her home must be provided in integrated community settings that enable the person to interact with people with and without disabilities to the fullest extent possible.

ICLS services offer assistance and support for people who need reminders, cues, intermittent/moderate supervision or physical assistance to remain in their own homes.

It includes the following service categories:

  • Active cognitive support
  • Adaptive support service
  • Activities of daily living (ADLs)
  • Household management
  • Health, safety and wellness
  • Community engagement.

Active cognitive support

The “active cognitive support” category includes interventions intended to address cognitive issues and challenges important to the person. Active cognitive supports are the only ICLS services that the person can receive both in-person and remotely. For more information, see settings under secondary information.

Examples of ICLS services covered under this category include:

  • Problem solving the person’s concerns related to daily living
  • Providing assurance to the person
  • Observing and redirecting to address behavioral, orientation or other cognitive concerns.

Adaptive support service

The “adaptive support service” category includes services intended to help the person adopt ways to meet his or her needs. ICLS adaptive support services:

  • Encourage the person’s self-sufficiency
  • Reduce the person’s reliance on human assistance.

Examples of ICLS services covered under this category include:

  • Verbal, visual and/or touch guidance to help a person complete a task
  • Developing and demonstrating cuing or reminder tools (e.g., calendars, lists)
  • Providing verbal, visual and/or touch guidance to help the person complete a task
  • Helping the person understand written assistive technology directions or instructions from the manufacturer or health professional so the person can maintain independence.

Activities of daily living (ADLs)

The “ADLs” category includes services intended to assist the person with ADLs.

Household management

The “household management” category includes services intended to help the person manage his or her home. Examples of ICLS services covered under this category include:

  • Assisting with cleaning, meal planning/preparation, and shopping for household/personal needs
  • Assisting with budgets and money management
  • Assisting with communications (e.g., sorting mail, accessing email, placing phone calls, making appointments)
  • Providing transportation when transportation is integral to ICLS household management goals and community resources and/or informal supports are not available.

Health, safety and wellness

The “health, safety and wellness” category includes services intended to help the person maintain his or her overall well-being. Examples of ICLS services covered under this category include:

  • Identifying changes in health needs, and notifying the case manager and/or informal caregivers as needed
  • Coordinating or implementing changes to mitigate environmental risks in the home
  • Providing reminders about and assistance with exercises and other health maintenance/improvement activities
  • Providing medication assistance (e.g., medication refills, reminders, administration, and/or preparation)
  • Monitoring the person’s health according to written instructions from a licensed health professional
  • Using medical equipment devices or adaptive technology according to written instructions from a licensed health professional.

Community engagement

The “community engagement” category includes services intended to help the person have meaningful integration and participation in his or her community. Examples of ICLS services covered under this category include:

  • Facilitating the person in socially valued roles through engagement in relevant activities that lead to desired outcomes
  • Helping the person access activities, services and resources that facilitate meaningful community integration and participation
  • Helping the person develop and/or maintain his or her informal support system
  • Providing transportation when it is integral to ICLS community engagement goals and community resources and/or informal supports are not available.