Individualized Home Supports (IHS)

We provide all types of individualized home support are provided in the person’s own home, family’s home, or community spaces used by the general public, either in person or remotely.

Individualized home supports cover community living services in four categories:

• Community participation
• Health, safety, and wellness
• Household management
• Adaptive skills

There are three types of individualized home support:

• Without training
• With training
• With family training.

When a person receives individualized home support without training, they must receive support in at least one of the community living service categories.
When a person receives individualized home supports with training or individualized home supports with family training, they must receive training in at least one of the community living service categories. They also may receive support in any of the community living service categories.
ManNasia’s Individualized home supports is available to people who live in their own home or their family’s home, and receive services through Brain Injury (BI), Community Access for Disability Inclusion (CADI) Community Alternative Care (CAC), Developmental Disabilities (DD), waivers.

Support in community living services 
We provide cueing, skill maintenance, guidance, instruction, assistance with activities of daily living, assistance with coordination of community living activities, or direct supervision.

Training in community living service categories:
We provide skill-building and instructional services to acquire, retain and improve the person’s experience living in the community. Training meet identified needs specified in the person’s assessment (e.g., MnCHOICES, long-term care consultation).

These services will include assistance to develop, maintain, or improve skills related to activities of daily living (ADLs), including:

• Household chores (e.g., bed-making, washing dishes, laundry)
• Eating and food preparation
• Personal hygiene and cleanliness
• Social and adaptive skills necessary to help the person (s) live in the community
• Health, safety, and wellness
• Household management.

For people on the DD Waiver, Individualized Family Supports services are intended to meet the habilitation service requirement. The Habilitation services include developing, maintaining, and improving social, adaptive, and other skills that are important to the person to be successful in their home and the community. Some of the service programs may include therapeutic activities, assistance, training, supervision, and monitoring. The Supervision and monitoring services cover these areas:

• Interpersonal skills
• Communication skills
• Self-care
• Socialization
• Community participation and mobility
• Health care, leisure, and recreation
• Money management
• Behavioral support
• Monitoring and reinforcing positive behavior.
• Sensory and motor development
• Household management

Services Description

Community participation

Community mobility and pedestrian safety (e.g., safely getting in and around the community; community resource use, and access; community safety and awareness, Informal support system, and network development, Interpersonal communications skills, Leisure, recreation, and socialization planning, Skill-building to meet transportation needs.

Health, safety, and wellness

This service category may include:
Collaboration with the person to arrange health care (e.g., physical, mental, chemical), meaningful activities, social services, meetings, and appointments; cueing, guidance, supervision, training, or instructional support to complete self-care. Help the person to activate and build resiliency factors. Support for the person to design and meet individualized strategies to reach their health, safety, and wellness goals.

Household management

This service category may include:
1. Cueing, guidance, supervision, training, or instructional support to complete routine household care and maintenance.
2. Household safety knowledge and skills.
3. Tenancy support and advocacy.
4. Training, assistance, support, and/or guidance with:

• Budgeting and assistance managing money,
• Cooking, meal-planning, and nutrition,
• Healthy lifestyle skills and practices,
• Household chores, including minor household maintenance activities and personal-needs purchasing.

Adaptive skills

This service category may include:

• Crisis prevention skills,
• Implementation of positive support strategies,
• Problem-solving,
• and sensory/motor development involved in acquiring functional skills, support strategies for self-sufficiency,
• Support and training to increase positive behavior,
• Resulting in the reduction or elimination of challenging behavior.

Not Covered Services

Individualized home supports do not cover services that:

• Duplicate other Minnesota state plans or waiver services
• Provide generalized supervision (i.e., supervision not specific to support in a community living service category)
• Exceed 16 hours per day of in-person individualized home supports
• Primarily deliver activities of daily living support (ADLs)
  (Note: A person may also receive personal care assistance [PCA] services when those services are not duplicative.
• Provide supervision during the person’s primary sleeping hours.
  (Note: A person may receive support during these hours through another service, such as night supervision services or 24-hour emergency assistance.)

Individualized home supports with family training is not covered for families, including extended family members, who are licensed to provide adult foster care, child foster care, family residential services, or community residential services.