These are services that provide the level of assistance, supervision and care that is necessary to ensure the health and safety of the person. Each is linked to the section in the Community-Based Services Manual with operational details about that specific service. Information about services requiring a license are in the Community-Based Services Program Manual.
These services are intended to promote training, habilitation or rehabilitation of the person. Each is linked to the section of the CBSM manual about that service. Information about services requiring a license are in the Community-Based Services Program Manual. Lists below contain links to specific sections in the manual about each service.
When you contact the 245D Licensing Unit with all completed forms, please allow 30-45 minutes for assistance with the application. A licensor will email you a link to the application portal and will work with you, step-by-step through the application process to ensure accuracy and efficiency. We have found that applicants who do not seek the assistance of a licensor in the application process may find the application approval process takes longer due to services selection errors, missing information and errors on the application itself. All of the required documents must be completed and uploaded to your computer in a PDF or Microsoft Word format prior to calling the HCBS Licensing Unit. After you submit your application materials:
Applicants submitting a 245D license application will pay a $500 application fee.
All DHS licenses expire on Dec 31, of each calendar year. To renew the license for the next calendar year, an annual license fee must be paid before Jan 1. DHS Licensing sends by email an invoice to the license holder’s Authorized Agent starting in October for the annual license fee. The email contains a link for the license holder to pay the annual renewal fee online through US Bank.
If a 245D license holder does not pay the renewal fee by Dec 31, they are in violation of Minnesota Statutes, section 245A.10, subdivision 6, and must not operate after Dec 31.
It is important that DHS has the current email address for the license holder’s authorized agent because the invoices are sent to this email address. To update this information, call your DHS licensor or the HCBS help desk at 651-431-6624
For more information about 245D annual renewal fees, see Minnesota Statutes, section 245A.10.
The 245D annual license fee is based on revenues derived from the provision of services that would require licensure under chapter 245D during the calendar year immediately preceding the year in which the license fee is paid.
If requested, the license holder must provide information to DHS to verify the annual revenues or other information as needed, including copies of documents submitted to the Department of Revenue.
At each annual renewal, a license holder may elect to pay the highest renewal fee, and not provide annual revenue information to DHS. A license holder that knowingly provides incorrect revenue amounts for the purpose of paying a lower license fee shall be subject to a civil penalty in an amount that is double the fee the provider should have paid.
These checklists can be used in their entirety or individually. Each checklist begins with general information that guides the license holder in applying the checklist to an individual program or a person receiving services. Some definitions are included to assist the license holder when using the checklist.
Day services facilities(DSF) are licensed under 245D (245D-DSF). DHS performs the licensing functions for these sites.
Services that may be provided in this setting include:
Minn. Statutes, sections 245D.21 to 245D.22; and 245D.27 to 245D.31, establish standards for day services facilities.
A license holder of an adult foster care or community residential setting may apply for an Alternate Overnight Supervision Technology (AOST) License when:
Before applying for an AOST license contact the 245D-Home and Community-Based Services (HCBS) unit to discuss all aspects of the application process by calling either:
HCBS Programs Provider Enrollment - Providers must apply for a 245D and then enroll as a provider of these services.
Minnesota Health Care Programs (MHCP) provider manual – online source for coverage policies, rates, and billing procedures.
Resources for New HCBS Waiver/245D Licensed Providers (PDF) This document describes the Home and Community Based Waiver and Alternative Care Programs and provides information on how to become a 245D Licensed HCBS Waiver or Alternative Care Provider, including enrolling as a Minnesota Health Care program provider.
Home and Community Based Services Waiver & Alternative Care - Provider Training 101 (PDF) This document provides information about the Home and Community Based Services (HCBS) waiver and Alternative Care (AC) Programs Provider Training 101. This online training helps providers learn basic information about Minnesota Health Care Programs (MHCP) and the home and community-based services(HCBS).DirectCourse: College of Direct Support – online curriculum that focuses on improving knowledge, promoting high-quality services and helping people lead more self-directed lives.
All providers must use the Behavior Intervention Reporting Form DHS-5148 (PDF) to report all occurrences of any of the following:
For instructions on completing the form, see Behavior Intervention Reporting Form Instructions DHS-5148A (PDF).
For questions about these processes or ongoing changes to the Positive Supports Rule, please send an email to email@example.com.
Minnesota law says vulnerable adults must be safe and that a process must be in place to report suspected maltreatment, protect vulnerable adults and requires respond to reports of suspected maltreatment in appropriate cases. The DHS Adult Protection Unit provides training and consultation to citizens, service providers, counties, law enforcement and state agencies regarding the Minnesota Vulnerable Adult Act.
The Minnesota Department of Human Services Adult Protective Services Unit helps to meet those requirements by:
The Adult Protective Services Unit administers the Minnesota Adult Abuse Reporting Center (MAARC). MAARC web reporting mn.gov/dhs/reportadultabuse/ is designed for mandated reporters to meet their reporting duty. Mandated reporters may refer to the MAARC Report Guide for information on using the web-based reporting system. MAARC also has a statewide toll-free number, 1-844-880-1574 for the public and mandated reporters.
Providers must report deaths and serious injuries of persons served by their program to the DHS Licensing Division and the Office of Ombudsman for Mental Health and Developmental Disabilities.
Reports must be made within 24 hours of the death or serious injury, or when you first learned that the death or serious injury occurred. Providers may use report of death or serious injury forms available online from the Ombudsman’s Office. Deaths and serious injuries occurring in ICFs/DD must be submitted to the Office of Health Facilities Complaints instead of DHS Licensing. The same report forms may be used.
Positive Supports Minnesota – approaches that offer respectful, supportive, and effective ways to help people make positive changes in their lives
DHS Positive Supports - strength-based strategies developed after individualized assessment to teach productive and self-determined skills or alternative strategies and behaviors without the use of restrictive interventions
Person-centered practices – learn more about how Minnesota is moving toward person-centered practices in all areas of service delivery
Disability Hub MN – free statewide resource network that helps people solve problems, navigate the system, and plan for the future
HCBS programs and services – an overview of eligibility rules, benefits, and application process for people to receive home and community-based services
Minnesota Adult Abuse Reporting Center (MAARC) for mandated reporters – links to online reporting and the MAARC Report Guide for information on using the online reporting system
State of Minnesota – The Office of the Revisor of Statutes – all state statues, laws, and rules are available online.
Minnesota Health Care Programs (MHCP) Provider Manual – primary information sources for MHCP coverage policies, rates, and billing procedures
MHCP Call Center – 651-431-2700 or 1-800-366-5411
DirectCourse: College of Direct Support – online curriculum that focuses on improving knowledge, promoting high-quality services and helping people lead more self-directed lives.
Maltreatment of Minors or Vulnerable Adults – online training form mandated reporters. This provides training about applicable state laws, license holders must also train their staff on their policies including all internal policies and procedures related to the prevention and reporting of maltreatment and program abuse prevention plan.
TrainLink: Disability Services Division Learning Center – upcoming courses and classes.
Go to Licensing Division Contacts for information on contacts for information about DHS Licensing.
If you have questions about 245D HCBS licensing standards, including the application process, please contact the 245D Help Desk at 651-431-6624.
Find licensed HCBS providers using one of the links below:
Use Licensing Information Lookup to search for frequently requested public information and find listings of DHS licensed programs and services.
Use MinnesotaHelp.info to find disability, aging, family and other resources in Minnesota.
The commissioner may grant variances to rules that do not affect the health or safety of persons in a licensed program if the following conditions are met:
Continuous variances: the commissioner may grant a continuous variance when conditions under which the variance is requested do not affect the health or safety of persons being served by the licensed program, nor compromise the qualifications of staff to provide services.
An applicant or license holder must inform the commissioner of any changes or modifications that have occurred in the conditions that warranted the continuous variance. Failure to advise the commissioner shall result in revocation of the continuous variance and may be cause for other sanctions under sections 245A.06 and 245A.07.
Expiration of variances: a variance expires upon the specified date on the approved variance or when the conditions that warranted the variance are modified in any way. A continuous variance expires as soon as the conditions that warranted the variance are modified in any way.Variances not subject to appeal: the commissioner's decision to grant or deny a variance request is final and not subject to appeal.