Covered Services

CLS covers assistance and support for eligible people age 65 and older enrolled in the Alternative Care (AC) program or the Elderly Waiver (EW). It includes the following service categories:

1. Active cognitive support

2. Adaptive support service

3. Activities of daily living (ADLs) support

4. Household management assistance

5. Health, safety and wellness

6. Community living engagement.

The case manager/care coordinator must complete the ICLS Planning Form, DHS-3751 to provide guidance and instruction to the ICLS provider about the needs of the person for each applicable service category.

Active cognitive support

This category includes services to support the person with cognitive challenges and issues that are important to them. For more information, see the service amount section.

Examples

Under this category, an ICLS provider can:

1. Help problem-solve the person’s concerns related to daily living

2. Provide assurance to the person

3. Observe and redirect to address the person’s cognitive, orientation or other behavioral concerns

4. Provide check-ins to identify problems and resolve concerns.

Adaptive support service

This category includes services to help the person adopt ways to meet their needs. The services encourage self-sufficiency and reduce reliance on human assistance.

Examples

Under this category, an ICLS provider can:

1. Provide verbal, visual and/or touch guidance to help the person complete a task

2. Develop and demonstrate cues or reminder tools (e.g., calendars, lists)

3. Help the person understand assistive technology directions or instructions to maintain independence

4. Practice strategies and similar support methods that promote continued self-sufficiency.

ADLs

This category includes services to help the person with ADLs.

Examples

Under this category, an ICLS provider can:

1. Provide reminders or cuing systems to complete ADLs

2. Cue and/or provide intermittent physical assistance with dressing, grooming, eating, toileting, mobility, transferring and positioning

3. Cue and/or provide continual supervision and physical assistance with bathing, as needed.

Household management

This category includes services to help the person manage their home.

Examples

Under this category, an ICLS provider can:

1. Help with cleaning, meal planning/preparation and shopping for household and personal needs

2. Help with budgeting and money management

3. Help with communications (e.g., sorting mail, accessing email, placing phone calls, making appointments)

4. Provide transportation when it is integral to ICLS household management goals and when community resources and/or informal supports are not available; see the transportation section.

Health, safety and wellness

This category includes services to help the person maintain their overall wellbeing.

Examples

Under this category, an ICLS provider can:

1. Identify changes in the person’s health needs and notify the case manager and/or informal caregivers as needed

2. Coordinate or implement changes to mitigate environmental risks in the home

3. Provide reminders about and assistance with exercises and other health maintenance or improvement activities

4. Provide medication assistance (e.g., medication refills, reminders, administration, preparation)

5. Monitor the person’s health according to written instructions from a licensed health professional and report any significant changes as instructed

6. Use medical equipment devices or adaptive technology according to written instructions from a licensed health professional.

Community engagement

This category includes services to help the person have meaningful integration and participation in their community.

Examples

Under this category, an ICLS provider can:

1. Help the person access activities, services and resources that facilitate meaningful community integration and participation

2. Help the person develop and/or maintain their informal support system

3. Provide transportation when it is integral to ICLS community engagement goals and community resources and/or when informal supports are not available; see the transportation section.