1. Program Definition and Services Provided 

Habilitation Services in Minnesota are designed to help individuals with developmental disabilities develop, maintain, and improve self-help, socialization, and adaptive skills necessary to live successfully in their homes and communities. These services include therapeutic activities, assistance, training, supervision, and monitoring in areas such as self-care, sensory and motor development, interpersonal skills, communication, socialization, and community living. Habilitation is distinct from rehabilitation, focusing on developing new skills rather than restoring lost ones. 

2. Regulations 

The primary regulations governing Habilitation Services are found in Minnesota Statutes Chapter 256B.092 and Minnesota Rules 9525.1800 and 9525.1860, which define habilitation services under the Developmental Disabilities (DD) Waiver. Additionally, Minnesota Statutes Chapter 245D governs the licensure of providers offering home and community-based services. 

3. Licensing or Certification 

To operate as a Habilitation Services provider in Minnesota, you must obtain a 245D license if providing intensive support services. Certification is not explicitly required for these services, but licensure is mandatory for operating as a provider of home and community-based services. 

4. Responsible State Agency 

The Minnesota Department of Human Services (DHS) is primarily responsible for overseeing Habilitation Services, while the Minnesota Department of Health (MDH) may also be involved in aspects related to health care services. 

5. Application Process 

The application process for a 245D license is typically conducted online through the DHS portal. You can find detailed instructions and forms on the DHS website. The pre-application worksheet is available to guide applicants through the process. 

6. Required Documentation 

The following documents are typically required for the application: 

• Completed application form 

• Application fee 

• Proof of liability insurance 

• Workers' compensation insurance (if applicable) 

• Background study data collection forms for all staff 

• Training documentation for staff 

• Business registration documents (e.g., articles of incorporation, EIN) 

• Policies and procedures as required by law 

• Designation of authorized agent and controlling individuals. 

7. Timeline for Approval 

The approval process typically takes several months after the application is deemed complete by DHS. This timeframe may vary based on the completeness of the application and any additional information requested by DHS. 

8. Pre-Application Process 

A pre-application process involves completing a 245D Pre-Application Worksheet, which helps applicants determine the type of license needed and gather required documentation before submitting the formal application. 

9. Pre-Application Training 

While there is no mandatory pre-application training, providers may benefit from completing the Home and Community-Based Service Waiver & Alternative Care - Provider 101 Training as part of the application process. 

10. Additional Notes 

• Registration as a Minnesota Health Care Program (MHCP) provider is required if you plan to accept Medicaid funding. 

• Compliance with specific waiver plans and service delivery standards under Chapter 245D is crucial for maintaining licensure and funding eligibility. 

• Providers must adhere to protection standards and service planning requirements outlined in Minnesota Statutes Chapter 245D.