245D Waiver Program
245D Waiver Services
If you or someone you know is a Minnesota resident with a disability or chronic illness needing support to live independently, 245D Waivered Services could be the answer. These state-funded programs offer a wide range of non-medical care and assistance, empowering individuals to remain in their homes and communities.
Absolute Carings is a 245D licensed provider of respite, homemaker, Individual Community Living Support (ICLS) services, Individual Home Support (IHS) without training, IHS with training, and night supervision services. For each 245D service, clients select a trusted, qualified worker suited for their needs, while for IHS with training, a qualified staff is matched to the client to meet their needs. We will work with the client and county case manager to set up and administer 245D Waivered Services in all services.
Our 245D Services
These services provide the level of assistance, supervision, and care necessary to ensure the health and safety of the person.
For people who need reminders, cues, intermittent/moderate supervision or physical assistance to remain in their homes.
On-call counseling and problem-solving and/or immediate response for assistance at a person’s home due to a health/personal emergency.
Non-medical care, supervision and socialization to a person age 18 or older.
Eligible services range from light household cleaning to household cleaning with incidental assistance with home management and/or activities of daily living.
Provides overnight assistance and monitoring by an awake staff in the person’s home.
Services provided in the person’s home or community to achieve potential, increase independence, and meet community inclusion goals.
Short-term care due to the absence or need for relief of the family member(s) or primary caregiver normally providing the care.
Basic Support Services
24-Hour Emergency Assistance
Life can be unpredictable, and when emergencies arise, having immediate access to help is essential. Our 24-Hour Emergency Assistance provides around-the-clock access to staff who can respond to urgent situations, ensuring safety and security at all times.
This service includes:
- Immediate phone or in-person response to crises
- Support during medical, behavioral, or safety-related emergencies
- Assistance with emergency planning and coordination
- Peace of mind for individuals and families alike
Adult Companion Services
Loneliness and isolation can affect emotional well-being. Our Adult Companion Services offer social interaction, emotional support, and supervision for adults who need a friendly, reassuring presence in their daily routine.
Services may include:
- Conversation and companionship
- Assistance with hobbies, games, or community outings
- Monitoring safety and general well-being
- Encouraging healthy routines and emotional wellness
This service helps individuals feel valued, engaged, and connected to the world around them.
Homemaker Services
A clean, safe, and well-organized home is essential for well-being. Our Homemaker Services assist individuals with essential household tasks they may not be able to do alone, helping them maintain a healthy and comfortable living environment.
We assist with:
- Light housekeeping and laundry
- Household organization and routine tasks
- Support with home safety and cleanliness
- Meal preparation and grocery shopping
Night Supervision
Night Supervision Services provide overnight support to individuals who need assistance or monitoring during nighttime hours. Our trained staff are present to ensure safety, respond to needs, and manage nighttime routines.
This includes:
- Awake overnight staff for monitoring
- Assistance with nighttime needs (bathroom, medications, etc.)
- Behavioral or medical observation as needed
- Creating a safe, reassuring overnight environment
Ideal for individuals who may experience confusion, anxiety, or require help during the night.
Respite Care (In-Home or Out-of-Home)
Caregiving is a full-time responsibility, and everyone needs a break. Our Respite Care service provides temporary relief for family caregivers, whether at home or in a structured out-of-home setting.
Benefits include:
- Short-term care to allow caregivers to rest and recharge
- Flexible scheduling — hourly, daily, or overnight
- Professional and compassionate staff trained to maintain continuity of care
- Promoting caregiver wellness and preventing burnout
Respite care supports both the individual and their family, helping everyone thrive.
Individual Community Living Supports (ICLS)
Our Individual Community Living Supports (ICLS) service is designed for individuals who live independently but require occasional support to navigate everyday life in the community.
This service focuses on:
- Health and wellness management
- Community integration and social participation
- Assistance with transportation and appointments
- Building routines and independent living skills
Through ICLS, individuals gain the confidence and skills they need to live with greater independence and connection to their community.
In-Home Support Services
Individualized Home Supports
Our Individualized Home Supports focus on providing day-to-day assistance tailored to each person’s unique needs and lifestyle. These supports are designed to maintain independence, promote safety, and enhance quality of life within the home and community.
Key areas of support may include:
- Daily living tasks like grooming, hygiene, and meal prep
- Medication reminders and health-related routines
- Transportation coordination
- Help with household management and errands
Individualized Home Supports with Training
Individualized Home Supports with Training go beyond everyday assistance by focusing on skill-building and personal growth. Our trained staff work alongside individuals to help them develop and strengthen skills that support greater independence and confidence.
Training areas may include:
- Budgeting and money management
- Cooking and meal planning
- Social and communication skills
- Navigating public transportation and community resources
Our approach encourages learning through hands-on practice, goal setting, and consistent encouragement and all within the comfort of home.
Individualized Home Supports with Family Training
Families play an essential role in the long-term success of individuals receiving care. With Individualized Home Supports with Family Training, we equip family members and caregivers with the knowledge, skills, and confidence to support their loved ones effectively.
Family training services may include:
- Instruction on specific care strategies
- Guidance on behavior support techniques
- Communication skill development
- Coordination of care planning and support systems
- Emotional support and caregiver education
Our goal is to strengthen the family unit, enhance collaboration, and create a nurturing environment where everyone feels supported.