Understanding 245D Waivered Services in Minnesota
What are 245D services? A clear breakdown of Minnesota’s HCBS basic support services — IHS, night supervision, homemaking, respite, and ICLS — and how to access them.
By the Kalkaal Home Care team
Reviewed by our licensed Minnesota home care staff · Updated April 15, 2026
If you’ve been researching home care options in Minnesota, you’ve likely run into the term 245D. It sounds technical, but the idea behind it is simple: helping people with disabilities and older adults live independently in their own homes and communities. Here’s what it means.
What does “245D” actually refer to?
245D is the chapter of Minnesota law that sets the licensing standards for Home and Community-Based Services (HCBS). These are the supports that allow people to remain in the community instead of institutional settings like nursing homes.
Providers who deliver these services must be licensed under 245D and meet the state’s standards for health, safety, and dignity.
The five 245D “basic support services”
Kalkaal Home Care provides the following 245D basic support services:
1. Individualized Home Supports (IHS)
Support to build independence and life skills at home and in the community — offered with or without formal training goals.
2. Night Supervision
Overnight monitoring and assistance from awake staff in the person’s home. Read our full guide to night supervision.
3. Homemaking
Help with cleaning, laundry, meal preparation, and shopping to keep the home safe and comfortable.
4. Respite Care
Short-term relief for family caregivers, giving them a needed break while their loved one is well cared for.
5. Individual Community Living Support (ICLS)
Support for adults 65 and older to live independently — including cueing, supervision, and help with daily tasks.
How are 245D services funded?
245D services are funded through Minnesota’s HCBS waiver programs, such as:
- CADI (Community Access for Disability Inclusion) Waiver
- DD (Developmental Disabilities) Waiver
- BI (Brain Injury) Waiver
- Elderly Waiver (EW)
To receive services, a person generally needs to be on a waiver and have the service written into their care plan.
How do I get started?
- Connect with your county case manager — they coordinate your waiver and care plan.
- Choose a licensed provider like Kalkaal Home Care.
- We coordinate the details — matching caregivers, building the plan, and handling logistics.
If you’re not yet on a waiver, don’t worry — we can help you understand the steps and point you in the right direction.
Have questions about 245D services? Explore our 245D waivered services or reach out at 612-333-1690.
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