Adult / Child / Senior

Individuals with Disabilities

The MnCHOICES assessment is a service provided by the county agency to assist individuals and their families in planning and choosing services. A social worker or nurse will conduct a home assessment with the client and family, at the residence of the client. The assessor can then provide direction and information regarding resources based upon the client's assessed needs and eligibility. The client, family, and assessor can then discuss options regarding a care plan, taking into consideration all aspects of the client's unique situation and what is important to and for them. This is a free service.

An assessment can also be requested when a person is residing in a nursing facility. This can be useful if someone is looking at moving back into a community setting.

State Waiver Programs

There are a number of waiver programs for seniors and disabled individuals that may be identified as resources for persons who have had a MNChoices assessment. The purpose of the waiver program is to delay or avoid an institutional placement for a person and maintain them in a community setting.

  1. Over Age 65 Waivers
  2. Under Age 65 Waivers

The two waiver programs for persons over age 65 who are at risk for nursing home placement are the Alternative Care (AC) and Elderly Waiver (EW) Programs.

Elderly Waiver

  • Requires eligibility for Medical Assistance and pays for a variety of services such as: 
    • assisted living service
    • home health aide and nurse visits
    • adult day care
    • homemaker
    • equipment and supplies
    • care giver support
    • short-term respite,
    • case management

The Alternative Care Waiver

  • Pays for most of the same services with the exception of Assisted Living services.
  • It does not require the individual be receiving Medical Assistance; however, there are financial eligibility guidelines for this program, and a financial application needs to be completed.