245D Home & Community-Based Services
3H Care provides individualized 245D services across Minnesota to support safety, independence, daily living, community participation and family stability.
We keep the descriptions below simple for families while staying aligned with Minnesota DHS service definitions. The exact type, amount and setting of support depends on eligibility, assessed need and authorization.
Support for adults who need both assistance and skill-building while living in their own home or family home. Training may focus on areas such as community participation, health and safety, household management and adaptive skills.
Designed to build or maintain skills while supporting day-to-day independence.
Support, assistance and supervision for adults or children who need help in one or more community-living areas while living in their own home or family home.
May include support with community participation, health and safety, household management or adaptive skills.
Support and training for adults or children who live in their family home when the person and/or family needs help in one or more community-living areas.
Training is individualized around the person’s needs and support-plan goals.
Overnight assistance and monitoring by staff in the person’s own home to address needs identified in the support plan.
A focused option for people who need support or monitoring during overnight hours.
Short-term care when the family member or primary caregiver who normally provides care is absent or needs relief.
3H Care offers both in-home and out-of-home respite when appropriate and authorized.
Household support that can range from light cleaning to eligible cleaning services with incidental help related to home management and activities of daily living.
The goal is a safer, more manageable home environment based on the person’s authorized service needs.
On-call counseling, problem-solving and/or immediate response when a person needs assistance at home because of a health or personal emergency.
This service is planned around the person’s identified emergency-support needs.
Non-medical care, supervision and socialization for adults age 18 or older. Support may also include verbal cues and incidental help with tasks when they are part of the companion service.
The focus is meaningful support, safety, connection and participation aligned with the person’s support-plan goals.
Getting started
245D services are generally connected to an assessment, support plan and service authorization. 3H Care can help families and referral professionals understand the next steps for services we provide.
Contact 3H Care or submit a referral so we can learn what support is being requested.
We coordinate with the individual, family and case manager or lead agency when applicable.
The applicable program and lead agency determine eligibility and authorize the service.
Once required steps are complete, we coordinate the start of authorized services.
For case managers & referral partners
Need to ask about service availability, coverage area or a specific 245D service? Send a referral or contact our team.
Please avoid sending sensitive health information through ordinary email or general web forms unless a secure method is provided.
Common questions
Chapter 245D is Minnesota’s licensing framework for certain Home and Community-Based Services. These services are intended to support health, safety, dignity and independence in home and community settings.
The right service depends on the person’s assessed needs, goals, living situation and program eligibility. A case manager or lead agency generally helps identify and authorize appropriate waiver services.
No. Eligibility and service authorization are determined through the applicable public program and lead agency. 3H Care can explain the services we provide and coordinate with the person’s care team once a referral is made.
Yes. 3H Care serves clients throughout Minnesota. Contact us about the specific service and location so we can review availability.
People • Purpose • Possibilities
Talk with 3H Care about the support you or someone you serve may need.
