1. GOVERNING AGENCIES

Agency: Minnesota Department of Human Services (DHS)

Role: Administers Medicaid programs, including chore services under HCBS Waivers

Agency: Minnesota Department of Health (MDH)

Role: Licenses and regulates home care agencies providing chore services

Agency: Centers for Medicare & Medicaid Services (CMS)

Role: Provides federal oversight and ensures waiver compliance

2. CHORE SERVICE OVERVIEW

Chore Services focus on assisting individuals with basic household maintenance tasks to maintain safety and hygiene. Services are tailored according to the Individual Service Plan (ISP) or Person-Centered Plan (PCP) and may include:

• Yard work (e.g., mowing, snow removal)
• Basic home repairs and maintenance
• Heavy cleaning and decluttering
• Garbage and trash removal
• Seasonal tasks (e.g., raking leaves, window cleaning)
• Simple household organization

3. LICENSING & PROVIDER APPROVAL REQUIREMENTS

Prerequisites:

• Register business with the Minnesota Secretary of State
• Obtain EIN from the IRS and NPI (Type 2)
• Enroll as a Medicaid provider with the Minnesota Department of Human Services
• Obtain a Chore Services License from the Minnesota Department of Health (if required)
• Maintain liability insurance and documentation of staff qualifications

4. MEDICAID PROVIDER ENROLLMENT PROCESS

Step 1: Pre-Application Contact

• Contact the Minnesota Department of Human Services to understand provider requirements for chore services

Step 2: Application Submission

• Submit business registration, liability insurance, and service descriptions

Step 3: License Verification

• Obtain and verify the Chore Services License (if required)

Step 4: Approval and Medicaid Number Assignment

• Once approved, receive a Medicaid provider number and authorization to provide services

5. REQUIRED DOCUMENTATION

• Articles of Incorporation or Business Name Registration
• IRS EIN Letter
• NPI confirmation
• Chore Services License (if applicable)
• Liability insurance certificate

Policy & procedure manual including:

• Client intake and needs assessment protocols
• Safety and hygiene procedures
• Cleaning and household maintenance guidelines
• Documentation of services and client feedback logs
• Staff training and supervision records

6. STAFFING REQUIREMENTS

Role: Chore Services Program Manager

Requirements: Experience in home support services or social services management

Role: Chore Worker / Household Support Aide

Requirements:

• High school diploma or equivalent
• Background check and TB clearance
• Basic training in household maintenance and safety practices

Training Requirements:

• Safety and infection control
• Task management and planning
• Client communication and service documentation
• Emergency response and risk management

7. MEDICAID WAIVER SERVICES

Chore Services in Minnesota are available through:

• 1915(c) HCBS Waiver for the Elderly and Disabled
• Community Access for Disability Inclusion (CADI) Waiver
• Brain Injury (BI) Waiver

Approved providers may deliver:

• Household maintenance and safety tasks
• Seasonal cleaning and organization
• Basic repair and yard work assistance

8. TIMELINE TO LAUNCH

Phase: Business Formation

Timeline: 1–2 weeks

Phase: Medicaid Provider Enrollment

Timeline: 60–90 days

Phase: Staff Hiring and Training

Timeline: 30–45 days

Phase: Equipment and Safety Setup

Timeline: 2–4 weeks

9. CONTACT INFORMATION

Minnesota Department of Human Services (DHS)

Website: https://mn.gov/dhs

Minnesota Department of Health (MDH)

Website: https://www.health.state.mn.us

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10. SCOPE OF WORK

• Business registration and licensing assistance
• Medicaid provider enrollment
• Policy & procedure manual for chore service operations
• Templates for maintenance logs and client feedback forms
• Website, domain, and email setup
• Staff credentialing and training documentation
• Client intake packet and service plans
• Risk management and safety protocols