Integrated community supports (ICS)


Capable Hands Care is licensed to provide Integrated Community Supports (ICS) to some individuals who reside at the Garfield Commons building in Bloomington, Minnesota. Garfield Commons apartment building is managed by the National Handicap Housing Institute (NHHI) a nonprofit that aims to improve the independent lifestyle of people with disabilities. NHHI and Capable Hands Care empower the residents with an emphasis on respect, excellence, and integrity in everything. The building is handicap accessible for residents with and without physical disabilities. Garfield is a barrier-free housing. “Barrier-free living offers individuals with disabilities growth and freedom that make a stronger and fairer society for all of us.

Integrated community supports (ICS): Services that provide support and training 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 multi-family housing building). ICS can be delivered up to 24 hours per day in the person’s living unit or in the community.

Support in community living service categories: Cueing, skill maintenance, guidance, instruction, assistance with activities of daily living, assistance with coordination of community living activities or direct supervision within an allowable community living service category.

Training in community living service categories: Skill-building and instructional services to acquire, retain and improve the person’s experience living in the community within an allowable community living service category. Training must meet the person’s identified needs.

ICS is available to adults who live in an ICS setting. For a list of approved ICS settings, see CBSM – Resource: Integrated community supports (ICS) settings. If the provider does not own, operate or lease the living unit(s) or have direct or indirect financial interest in the property or housing where services are delivered, see CBSM – Individualized home supports instead.

Effective Jan. 1, 2021, ICS is available to adults on the following waivers:

  • Brain Injury (BI)
  • Community Access for Disability Inclusion (CADI)

Effective Jan. 1, 2023, or upon federal approval, ICS is available to adults on the following waivers:

  • Community Alternative Care (CAC)
  • Developmental Disabilities (DD)

ICS covers training and support to meet the person’s individualized assessed needs and goals in at least one of the community living service categories:

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

This category may include:
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

This category may include:

  • Collaboration with the person to arrange health care (e.g., physical, mental, chemical), meaningful activities, social services, meetings, and appointments
  • Training or support to complete self-care activities, including ADLs
  • (Note: Cannot duplicate use of eligible Medical Assistance state plan home care services; see CBSM – Home care overview)
  • Health services support, as defined in Minn. Stat. §245D.05
  • Help for the person to activate and build resiliency factors (e.g., whole health action management)
  • Support for the person to design and meet individualized strategies to reach their health, safety and wellness goals.

Household management

This category may include:

  • Cueing, guidance, supervision, training or instructional support to complete routine household care and maintenance
  • Household safety knowledge and skills
  • Tenancy support and advocacy
  • Training, assistance, support and/or guidance with:
  • Budgeting and assistance to manage money
  • Cooking, meal-planning and nutrition
  • Healthy lifestyle skills and practices
  • Household chores, including minor household maintenance activities

(Note: The person is responsible for the cost of the maintenance replacement items or products)

  • Personal-needs purchasing

Adaptive skills

This category may include:

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

For more information about to receive ICS from Capable Hands Care, reach out to the CEO/Founder of Capable Hands Care.
Tel: (612) 430-3461 - Email:

Informed Choice Policy

A person who lives in an ICS setting is not required to receive ICS. However, when a person lives in an ICS setting, ICS can only be delivered by the provider who controls the setting. When a person who lives in an ICS setting chooses  not to receive ICS, they may choose to receive other services from another provider who does not control the setting. A person who receives ICS may also receive the following services from a different provider (i.e., other than the ICS provider):

  • Home-delivered meals
  • Homemaker
  • Personal care assistance (PCA) services. The case manager must clearly define in the person’s support plan how ICS and the above services do not duplicate one another

For more information about ICS program go to:
CBSM - Integrated community supports (