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245D Basic Waivered Services

Best Care is a licensed provider of 245D basic services including Individualized Home Supports Without Training (IHS), Night Supervision, Homemaking, Respite and Individual Community Living Supports (ICLS).

How do 245D Basic Waivered Services Work?

Best Care is a licensed provider of 245D basic services including Individualized Home Supports Without Training (IHS), Night Supervision, Homemaking, Respite and Individual Community Living Supports (ICLS). For each service, you select a trusted worker who best suits your needs and maintain control of how your workers provide services by scheduling hours and providing them direction on your specific day to day support needs.
 
Our staff partners with you and your case manager to initiate services, develop and implement your support plan and work to ensure you are receiving a high quality of care. We also provide your worker with 245D training to help both you and your worker feel comfortable and confident in their abilities. Connect with our staff today to learn more about our 245D services!
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Best Care PCA/245D Client Manual

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Best Care Employee Manual

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245D Services Initiation Path

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245D Employee Training Site

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Why Choose

Best Care

245D Services

Eligibility

How to

Get Started

245D Staff

Training

Why Choose Best Home Care

  • We use a human-centered approach to our work, with clients and employees at the heart of everything we do
  • We provide a high standard of care through prompt onboarding, responsive service and respectful treatment of clients, employees and their support team
  • We partner with clients and their support team to develop and maintain a detailed support plan for services
  • We offer competitive wages and benefits for Direct Support Professionals (DSPs)
  • We provide the statute required 245D training to DSPs both during orientation and annually
  • Our agency staff have extensive knowledge of 245D services and the statute and licensing requirements for 245D

Eligibility for 245D Services

Basic 245D services are available through home and community based waivers. A person must compete a MnCHOICES assessment to determine if they are eligible for a waiver.

Once open to a waiver, the person will work with a waiver case manager to determine which services may best meet the person’s support needs and goals.

How To Get Started

Discover the 245D admissions process with this helpful graphic chart that can help you get started today! Contact us if you have questions, we are happy to help.

245D Staff Training

MN Statute 245D and the Positive Support Rule 9544 require specific training during orientation and annually for all Direct Support Professionals providing 245D services. The initial training must be completed before 245D staff can provide services. The training includes an array of topics such as positive supports, person centered approaches, de-escalation, self-care, basic first aid and more. Best Care offers this training to 245D staff through Direct Course.

As part of their initial training, 245D staff also meet with Best Care’s Designated Coordinator to review the specific support needs of their client prior to providing services.

Respite Services

This short-term care service is provided when the person’s primary caregiver is absent or needs temporary relief from caregiving duties. Respite provides the level of supervision and care that is necessary to ensure the person’s health and safety and can be provided in the person’s home or at the caregiver’s home.

This service is available under the Home and Community Based Waiver programs.

Homemaking Services

These are 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)

Homemaker/cleaning services include light housekeeping tasks, laundry services. Homemaker/Home management includes light housekeeping and assistance with laundry, meal prep, shopping for food, clothing and household supplies, simple household repairs, and arranging transportation. Homemaker/assistance with ADLs includes light housekeeping and assistance with walking, bathing, dressing, grooming, eating and toileting.

These services are available under the Home and Community Based Waiver programs.

Individual Community Living Supports (ICLS)

This service provides support in the areas of active cognitive support, adaptive support service, activities of daily living (ADLs) support, household management assistance, health, safety and wellness, community living engagement. Individual Community Living Supports can be provided in the person’s own home, family’s home or in the community, and either in person or remotely.

This service is available under the Elderly Waiver (EW) and the Alternative Care Program (AC).

Night Supervision

This service provides overnight assistance and monitoring by an awake staff in the person’s own home and includes carrying out a person’s positive support programming and transition plans, reinforcing independent living skills training and other skill development supports and assisting with instrumental activities of daily living (IADLs).

This service is available under the Brain Injury Waiver (BI), Community Alternative Care Waiver (CAC), the Community Access for Disability Inclusion waiver (CADI) and the Developmental Disabilities waiver programs.

Individualized Home Supports without Training

Services that provide support in the areas of community participation, health, safety and wellness, household management and adaptive skills for people who live in their own home or their family’s.  Individualized home supports can be provided in the person’s own home, family’s home or in the community, and either in person or remotely.

Meet our 245D team.

With decades of experience in home care, our team brings an unmatched level of family assistance to our Best Care team. Take a moment to get to know them little better! Contact us today for further assistance with 245D Services!

Natalie Kallas

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Natalie is a licensed social worker who comes to Best Care with over 9 years of experience in the homecare field. Her previous roles have included Qualified Professional, Aging Services Social Worker and Designated Coordinator. She is also a Certified Caregiver Consultant and is trained in evidence-based dementia care approaches. She is currently pursuing her master’s in public health and is trained as a community health worker. She is passionately committed to helping clients remain in their communities and advocating for systemic change in the ongoing progress towards greater health equity.

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Jessica Qualy

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Jessica joins the Best Care team with over 10 years of experience managing group homes. With 15 years of direct care support for people with disabilities, she is passionate about taking care of others and helping them succeed in life. She is fluent in 245D, a qualified designated coordinator, and comfortable handling licensing requirements and compliance. In her free time, she loves being active outside, spending time with family and friends, and always has crochet projects going.

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Liz Webster

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Liz has spent the last seven years in the PCA and 245D world. She graduated with a Bachelor’s degree in Sociology and a minor in criminal justice and social work.  Liz is passionate about making a positive difference in the world. She found her passion for making a difference during her time with  AmeriCorps where she traveled around the U.S. serving areas of high needs. In her personal time Liz enjoys experiencing new cultures and foods by way of travel.

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For questions about family caregiving or whether you’re eligible to receive 245D Waivered services, contact Best Care today!

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