A Step Ahead Home Health Care
Quality Care You Can Trust

Our Services
We offer both basic support services and intensive support services as a 245D provider.
There are several services in each category that our organization can provide to people who have been assessed for the specific types of services under each category.
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Basic support services
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.
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Companion services: Non-medical care, supervision and socialization to a person age 18 or older.
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Homemaker services: Eligible services range from light household cleaning to household cleaning with incidental assistance with home management and/or activities of daily living.
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Personal support: Services provided in the person's home or community in support of achieving potential, increasing independence and meeting community inclusion goals.
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Respite care services: Short-term care due to the absence or need for relief of the family member(s) or primary caregiver normally providing the care.
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Individual community living supports (ILCS): For people who need reminders, cues intermittent/moderate supervision or physical assistance to remain in their own homes
Intensive support services
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.​
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Positive support services: Services to increase positive behavior and decrease or eliminate severe, challenging behavior.​​
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Independent living skills training: Services that develop, maintain and improve the community-living skills of a person.
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Semi-independent living skills: Services needed by an adult with developmental disability or related condition(s) to live successfully in the community. ​​
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Supported employment: Effective July 1, 2018, supported employment services began the transition to the new disability waiver employment services.
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Employment development services: Individualized services designed to help a person achieve competitive, integrated employment, become self-employed or establish a microenterprise business in his/her community.
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Employment support services: Individualized services and supports that help people maintain paid employment in community businesses/settings. Employment support services occur in integrated community settings.
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To Qualify for 245D Services
People with disabilities and older adults may qualify for waiver/AC programs if they choose to live in the community and require certain levels of care. The following programs are available to people who meet eligibility criteria:
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Alternative Care (AC): For older adults who require the level of care provided in a nursing facility and who are not yet eligible for MA
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Brain Injury (BI) Waiver: For people with a traumatic, acquired or degenerative BI who require the level of care provided in a nursing facility that provides specialized services for people with BI, or who require the level of care provided in a neurobehavioral hospital
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Community Access for Disability Inclusion (CADI) Waiver: For people with disabilities who require the level of care provided in a nursing facility
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Community Alternative Care (CAC) Waiver: For people who are chronically ill or medically fragile and require the level of care provided in a hospital
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Developmental Disabilities (DD) Waiver: For people with developmental disabilities or related conditions who require the level of care provided in an intermediate care facility for persons with developmental disabilities (ICF/DD)
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Elderly Waiver (EW): For older adults who require the level of care provided in a nursing facility.
(You can apply for a Waiver program by contacting your local county social service agency or tribal nation.)
Are you eligible for Waiver Services?
To be eligible for waiver services, a screening process will be used to determines eligibility for all waiver programs by the county to determined for a certain level of care.
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If you or someone you know is need of waiver services, please contact your county social service or tribal office to find out how to get approved. You can follow the link below for a diretory through MN DHS webpage to locate your county social service or tribal nation office here.
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Still have questions? Please Call (612) 695-5091 or email astep.hhc@gmail.com.