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Capable Hands Care Services

Services Provided

Capable Hands Care LLC is a Home and Community Based Services (HCBS) company, licensed by the state of Minnesota, under the Department of Human Services. Our programs focus on providing stellar services to people with disabilities in the comfort of their homes; teaching people independent living skills towards enjoying satisfying lives. Stellar Service is Our Priority.

Definition:

Personal support: Services provided in the person’s home or community to:

  • Achieve his/her full potential
  • Increase his/her independence
  • Meet community inclusion goals that are important to and important for the person and based on an assessed need.

Own home: A home that is not licensed or operated by an entity other
than the person.

Covered services: Personal support services relate to outcomes identified in the person’s support plan when teaching and training is not necessary to achieve these outcomes, and it is the least costly assistance to reasonable meet the person’s needs. Covered

Services include supervision, support or assistance with:

  • Activities of daily living (ADL’s)
    (ADL) activities that are necessary for daily care of oneself and independent community living. It includes using the toilet and grooming, dressing, and feeding oneself; independent community living includes driving, shopping, homemaking, care of family, work activities, and so on.
  • Accessing community services
  • Developing meaningful connections with community members
  • Establishing new relationships and nurturing existing ones
  • Participation in community activities of the person’s choosing

Services provided one-on-one with the person outside of his/her home must be provided integrated community settings that enable the person to interact with people with and without disabilities to the fullest extent possible.

Definition: Adult companion services: Non-medical care, supervision and
socialization provided to a person age 18 or older.

Covered services: Adult companion services cover services that help a person work toward a therapeutic or community integration goal in his /her support plan.

Examples: The adult companion may:

  • Attend a movie with the person to practice coping skills to manage
    his/her social anxiety.
  • Go with the person to a community event to reduce his/her social
    isolation.
  • Play a board game with the person to enhance his/her fine motor skills.
  • Provide verbal instructions or cues to the person to help him/her
    complete a task

Non-covered services:

  • Activity fees (e.g., movie tickets)
  • Services provided be people related to the person by blood, marriage or
    adoption.

Definitions:

Individualized Home Supports (IHS): Capable Hands Care provides Individualized home supports, a single service authorized in three different ways, depending on the type of support or training a person and/or their family needs. Through the Waiver Reimagine streamlined service changes, DHS streamlined six services into individualized home supports.

Service options for individualized home supports:
Without training
This service option is provided to adults or children when they need support, assistance, and supervision in at least one of the community living service
categories.
Through the Waiver Reimagine streamlined service changes, this option combines the previous services of adult companion and personal support.

With training
This service option is provided to adults when they need support and training in at least one of the community living service categories.
Through the Waiver Reimagine streamlined service changes, this option combines the previous services of independent living skills (ILS) training, supported living services (SLS) – own home and the previous version of individualized home supports.

With family training
When a person lives with their family, this option is designed to provide training to the person and their family members to increase their capabilities to care for and maintain the person’s ability to live in the home.
This service option is provided to adults when the person and their family needs
support and training in the family’s home in at least one of the community living service categories.

This service option is provided to children when either of the following is true:
• The person needs support and training in at least one of the community living service categories

• The person and their family needs support and training in at least one of the community living service categories.
Through the Waiver Reimagine streamlined service changes, this service streamlines the in-home family supports service.

Coordination between the types of individualized home supports:
The individualized home supports with training and individualized home supports with family training options include both:
• Support, assistance, and supervision identified in the individualized home supports without training option
• Training or habilitation (for people on the DD Waiver).
A person may receive both support and training from one provider. This allows individualized home supports with training or individualized home supports with family training service options to be authorized to flexibly meet a person’s support and training needs.
A person may only receive individualized home supports without training and one of the other service options (with training or with family training) if a separate provider delivers individualized home supports without training. The lead agency must ensure there is no service duplication.
A person cannot receive individualized home support with training and individualized home supports with family training at the same time.

For more information go to https://mn.gov/dhs/waiver-reimagine/

Definitions:

Respite: Short-term care services provided to a person when his/her primary caregiver is absent or needs relief.

Primary caregiver(s): Person or people principally responsible for the care
and supervision of the person who receives services.

In-home respite: Respite provided in the person’s home or place of residence.

Out-of-home respite: Respite provided outside of the person’s home or
place of residence.

Definition:

Homemaker: Services that help a person manage general cleaning and household activities.

Covered services: Homemaker/cleaning services include light housekeeping
tasks. Homemaker/cleaning providers deliver home cleaning and laundry
services.

Non-covered services: A person cannot receive homemaker services if any of the following are true:

  • He or she lives in a licensed setting (e.g., foster care or supervised living
    facility).
  • He or she receives adult or child foster care, customized living or 24-
    hour customized living.

Definitions:

  • Night supervision services: Overnight assistance and monitoring provided by an awake staff in the person’s own home.
  • Own Home: For night supervision services, a person’s own home means a setting the person owns, rents or leases that is not operated, owned or leased by a provider of services or supports.

Covered services:

Night supervision services include:

  • Carrying out a person’s positive support programming and transition
    plans.
  • Reinforcing independent living skills training and other skill development
    supports.

Definition:

24-hour emergency assistance: On-call counseling and problem solving and/or immediate response for assistance at a person’s home due to a health/personal emergency.

Primary Caregiver: Person principally responsible for the care and supervision of the person. He/she must maintain his/her primary residence at the same address as the person and be named as an owner or lessee of the primary residence.

Definition: Independent living skills (ILS) training: Services that develop, maintain and improve the community-skills of a person.

Covered Services: ILS training is a direct training from a staff person to address the identified skill development needs of a person in the areas of:

  • Communication skills
  • Community living and mobility
  • Interpersonal skills
  • Reduction/elimination of maladaptive behavior
  • Self-care
  • Sensory/motor development involved in acquiring functional skills.

Assistance and supervision may occur during the delivery of ILS training services. However, training must be the primary service provided.

Non-covered services:

  • ILS training provided in licensed settings that are not the person’s home.
  • Overnight supervision

In-home family supports: Services provided to a person and his/her family (including extended family members) in the family’s home and/or in the community to enable the person to remain in or return to the home. This includes training of the person and family members to increase their capabilities to care for and maintain the person in the home.

In-home family supports include assistance to develop, maintain or improve skills related to activities of daily living, such as:•

  • Household chores (e.g., bed-making, washing dishes, laundry)
  • Eating and food preparation• Personal hygiene and cleanliness
  • Social and adaptive skills necessary to help the person live in the community
  • Health, safety and wellness• Household management.