Community Based Services (CBS)

We provide a person-centered need-based ongoing Community-based support without training or rehabilitation to persons with intellectual/neurodevelopmental disability, Traumatic Brain Injury, chronically ill persons and seniors 65+ who choose to live in their homes in place of institutions, nursing homes and/or hospitals. Our services are designed to maintain or improve physical, intellectual, emotional, and social function. 

Generally, People in our different service categories are supported on 

-improving community participation and mobility, 

-health care coordination,  

-assistance with basic technology to support community living, 

-help making lists for grocery and house needs, cleaning, 

-help making appointments and managing a calendar, 

-help applying for and maintaining benefits, 

-help reading and responding to mail, 

-review of the environment and recommend changes to address risk factors, 

-laundry, housekeeping/house chores, meal preparation and reminders, 

-help accessing community resources, 

-help socializing with friends and family, leisure & recreation, 

-support to develop and/or maintain informal support systems, 

-interpersonal/communication skills training. 

-Medication management/reminders 

-Money management/budgeting. 

-Sensory and motor development, assistance with ADLS. 

Individual community living support (ICLS) 

Designed to support people age 65 and older enrolled in the Alternative Care (AC) program or the Elderly Waiver (EW) who need reminders, cues intermittent/moderate supervision or physical assistance to remain in their own homes. It includes the following service components: 
Health, safety and wellness: Health maintenance cueing to ensure the person follows prescribed treatments 
Assistance with basic living tasks and social skills. 
Help applying for & maintaining benefits 
Assistance with household management. 
Problem-solving support. 
Active cognitive support. 
Adaptive support service. Activities of daily living (ADLs) support 
Community living engagement. 

Adult Companion Care 

Non-medical support provided to an adult working to achieve a therapeutic or community integration goal that may include coping skills to manage social anxiety, social isolation or to enhance fine motor skills. 
We provide companionship by supervising/accompanying/keeping company with an individual as they work to achieve a goal within their support plan. Attending a movie with the person to practice coping skills to manage their social anxiety. Going with the person to a community event to reduce their social isolation. Play a board game with the person to enhance their fine motor skills. Provide verbal instructions or cues to the person to help them complete a task. Assist or supervise the person with tasks such as laundry, light housekeeping, meal preparation and shopping. Companion care does not include support with ADLs. 

Night Supervision 

Provides overnight assistance and monitoring by staff in the person’s own home. This may include support for better sleep hygiene and safety checks.

Individualized home support without training 

personal support Services for adults or children when they need support, assistance and supervision in at least one of the community living service categories when living in their own home or family home. Community living service categories include community participation, health, safety and wellness, household management & adaptive skills. 

Respite Care 

Temporary supervision and care necessary to ensure the health and safety of the person due to the absence or need for relief of the primary caregiver. 
We ensure the health and safety of the person we support and reassure them of the connection with their loved ones. No training and/or rehabilitation involved. We provide respite care services only in the individual’s own home or family home. 

24-Hour Emergency Services 

On-call counseling & problem solving and/or immediate response for support at a person’s home due to a health or personal emergency that is not related to an injury or an immediate danger requiring 911 assistance. 
Assistance provided is specific to the person’s needs, as per their support plan. 

Community Alternative Care (CAC) Waiver

CAC is provided for chronically ill or medically fragile people who would otherwise be in the hospital. “The services help a person live as independently as possible in community settings and promote optimal health, independence, safety and community integration” MDH.

Community Access for Disability Inclusion (CADI) Waiver

A community-based service option for people with disabilities who qualify for care provided in a nursing facility. These services are designed to help a person live as independently as possible in community settings and promote optimal health, independence, safety, and community integration.

Developmental Disability (DD) Waiver

A community-based service option offered to people diagnosed with DD who qualifies to receive care in an intermediate care facility for persons with developmental disabilities (ICF/DD). The purpose is to help a person live as independently as possible in community settings and promote optimal health, independence, safety and community integration.

Semi-Independent Living Skills (SILS)

Services needed by an adult with a developmental disability or related condition(s) to live successfully in the community.

Integrated Community Supports (ICS)

Services that provide support and training/habilitation in community living service categories to adults age 18 and older who reside in a living unit of a provider-controlled ICS setting (e.g., apartment in a multifamily housing building). Services are individualized and based on the person’s assessed areas of needs.

Individualized Home Support (IHS) with Training

Services for adults when they need support and training in at least one of the community living service categories when living in their own home or family home. Training includes habilitation. Community living service categories include community participation; health, safety and wellness; household management; adaptive skills.