Our Services
Comprehensive care solutions tailored to your unique needs, designed to help you maintain independence and quality of life.
Home and Community-Based Services
HCBS (Home and Community-Based Services) are Medicaid-funded programs that let adults receive support in their own home or community instead of a facility. Minnesota offers several HCBS waiver programs — including CADI, DD, BI, and CAC — each designed for different needs. As a 245D licensed provider, Midway Homes delivers services under these waivers.
CADI Waiver — Community Access for Disability Inclusion
DD Waiver — Developmental Disabilities
BI Waiver — Brain Injury
CAC Waiver — Community Alternative Care
Elderly Waiver
Basic Support Services
Day-to-day assistance that helps adults live safely and independently at home. Basic Support includes homemaker services (cooking, cleaning, laundry, errands), night supervision, 24-hour emergency assistance, adult companion services, individual community living support (CLS), individualized home supports, and respite care.
Homemaker — cooking, cleaning, laundry, errands
Night Supervision — overnight safety and support
24-Hour Emergency Assistance
Adult Companion Services
Individual Community Living Support (CLS)
Individualized Home Supports
Respite Care — temporary relief for family caregivers
In-Home Support Services
Individualized Home Supports (IHS) delivered in your own home. IHS with training teaches daily living skills — meal prep, budgeting, hygiene, household routines — so you build independence over time. IHS without training provides direct hands-on help with those same tasks. Family training helps family members learn techniques to support their loved one.
IHS with Training — teaching daily living skills
IHS without Training — direct hands-on assistance
Family Training — teaching family members support techniques
Meal preparation and nutrition support
Budgeting and money management
Personal hygiene and household routines
Integrated Community Supports (ICS)
ICS is 24-hour staffed supportive housing in a provider-managed home for adults 18 and older on a BI, CAC, CADI, or DD waiver. Residents have their own space with on-site staff who help with community participation, health and safety, household management, and adaptive skills — the goal is building independence while living in a supportive setting.
24-hour staffed supportive housing
Community participation and social skills
Health, safety, and wellness coordination
Household management and budgeting
Adaptive skills development
Transportation and community access
Personal Care (PCA / CFSS)
Personal care support in your own home. Minnesota is replacing Personal Care Assistance (PCA) with Community First Services and Supports (CFSS). Midway Homes helps with activities of daily living such as bathing, dressing, grooming, toileting, mobility, and eating, so adults can stay in their own homes and communities.
Bathing, dressing, and grooming support
Toileting, mobility, and transfers
Eating and meal assistance
Help with health-related tasks and daily routines
Available to adults who qualify through their county or health plan assessment
What Do 245D, HCBS, and ICS Mean?
245D — Minnesota's Quality Standard for Home Care
245D is a Minnesota state license that sets standards for agencies providing home and community-based services (HCBS) to people with disabilities. A 245D license means the agency meets DHS requirements for staff training, background checks, person-centered service planning, incident reporting, and quality assurance. When you choose a 245D licensed provider, you know the state has verified the agency meets these standards.
HCBS — Home and Community-Based Services
HCBS stands for Home and Community-Based Services — Medicaid-funded programs that allow adults to receive care in their own home or community instead of a nursing facility or institution. Minnesota offers several HCBS waiver programs (CADI, DD, BI, CAC, Elderly Waiver) that fund services like homemaker, in-home support, community living support, and ICS. Your county case manager determines which waiver you qualify for based on your needs.
ICS — Integrated Community Supports
ICS is a specific HCBS service where you live in a staffed, provider-managed home — not a facility, but a regular house with 24-hour support staff on-site. You have your own private space, and staff help you build skills in four areas: community participation, health and safety, household management, and adaptive skills. ICS is available to adults 18 and older on a BI, CAC, CADI, or DD waiver.
Minnesota DHS Waiver Programs Accepted
Midway Homes Adult Care is a 245D licensed provider accepting all major Minnesota Department of Human Services (DHS) waiver programs. Our team specializes in delivering comprehensive home and community-based services (HCBS) to adults throughout St Paul and the greater Minnesota area.
Brain Injury (BI) Waiver
Specialized support for individuals with acquired brain injuries, helping them maintain independence and achieve their personal goals.
Community Alternative Care (CAC) Waiver
Services for adults age 65 and older who need nursing home level of care but prefer to remain in their community.
Community Access for Disability Inclusion (CADI) Waiver
Comprehensive support for adults with disabilities, promoting community integration and independent living skills.
Developmental Disabilities (DD) Waiver
Tailored services for individuals with developmental disabilities, focusing on skill development and community participation.
Integrated Community Supports (ICS) Services in Minnesota
As a 245D licensed provider, Midway Homes Adult Care offers Integrated Community Supports (ICS) services for adults age 18 and older on BI, CAC, CADI, or DD waivers. Our ICS program provides comprehensive support and training in four key community living service areas:
Community Participation
Our community participation services help individuals engage meaningfully with their local St Paul community. We provide support with:
- Community mobility and pedestrian safety training
- Access to community resources and services
- Transportation support and coordination
- Social skills development and interpersonal communication
- Leisure, recreation, and socialization planning
- Building and maintaining informal support networks
Health, Safety, and Wellness
We collaborate with individuals to coordinate comprehensive health services and wellness activities, including:
- Coordination of physical, mental, and chemical health services
- Support with self-care activities and daily routines
- Medication management and health appointment scheduling
- Development of individualized wellness goals and strategies
- Building resilience and coping skills
Household Management
Our household management support helps individuals maintain their living spaces and develop independent living skills:
- Budgeting and money management assistance
- Meal planning, cooking, and nutrition education
- Household chores and minor maintenance activities
- Personal needs shopping and transportation
- Tenancy support and advocacy
Adaptive Skills Development
We provide specialized training and support to enhance adaptive functioning:
- Problem-solving and decision-making skills
- Crisis prevention and de-escalation techniques
- Positive behavior support strategies
- Sensory and motor development for functional skills
- Self-sufficiency and independence training
Professional Staffing and Quality Care
At Midway Homes Adult Care, we pride ourselves on our team of highly trained, compassionate Direct Support Professionals (DSP) and care coordinators. All our staff members undergo comprehensive background checks, extensive training in 245D regulations, and ongoing professional development to ensure the highest quality of care for our clients.
Our person-centered approach means that every care plan is tailored to the individual's unique needs, preferences, and goals. We work closely with case managers, families, and healthcare providers to deliver coordinated, comprehensive support that promotes dignity, independence, and quality of life.
Insurance and Payment Options
We accept Medicare, Medicaid, UCare, HealthPartners, and most major insurance providers. Our dedicated billing team handles all insurance verification and claims processing, making it easy for you to access the care you need without administrative hassle. We also provide assistance with waiver applications and renewals.