Human Services

Arc Guide to the Community Access for Disability Inclusion (CADI) Waiver

The Community Access for Disability Inclusion (CADI) waiver is one of several Home and Community-Based Services (HCBS) waivers available through Minnesota’s Medical Assistance* program.


The CADI waiver is for individuals, both children and adults, who need the level of care that would otherwise be provided in a nursing home. Like all waivers, the CADI waiver provides supports to an individual to live where they want in the community.


To be eligible for CADI waiver services, an individual must:

  • Be eligible for Medical Assistance (MA)
  • Be certified as disabled by the State Medical Review Team (SMRT) or Social Security
  • Be under the age of 65 when the waiver begins
  • Be determined to need the level of care that would otherwise be provided in a nursing facility
  • Have an assessed need for services and supports more than those available from other funding sources
  • Make an informed choice for services in the community instead of a nursing facility


Individuals interested in the CADI waiver should contact their county of residence and ask about an assessment for services.**


Through the MnCHOICES assessmenet process, information is gathered to determine if the services:

  • Are necessary for the individual’s health, safety and welfare  Are covered by any other funding source
  • Meet the individual’s needs, wants and preferences  Costs are reasonable and customary


Service available through the CADI waiver:

  • 24 – hour customized living: Supportive services provided to a person who lives in a specific housing situation (a registered housing with services establishment)

24 – hour emergency assistance: on-call counseling and problem solving, immediate response for assistance

Adult and child foster care: Services provided in a foster care setting

Adult companion: Care provided to an individual age 18 or older; care that is not medical, includes supervision and socialization

Adult day services: For an individual age 18 or older who needs supervised care outside of the home during the day

  • Adult day services bath: For when a bath is unable to happen in the person’s home

Behavioral support: Assistance to increase positive behavior and decrease/eliminate negative or challenging behavior

Caregiver living expenses: Expenses by a caregiver who resides with the person who also provides a waiver service

Case management: services provided by the case manager (social worker) to assist the person to access and plan services

Case management aide: Assistance provided to the case manager

Chore services: Assistance provided to individual or primary caregiver, for a clean and safe environment

Consumer-directed community support: an option that gives the person more flexibility and responsibility for directing services and staff; the person writes a plan describing how needs will be met

Crisis respite: Intervention and care provided on a short-term basis, for both medical

and behavior needs, support the individual and/or protect others living with the individual

Customized living: Supportive services provided to a person who lives in a specific housing situatin (a registered housing with services establishment)

Environmental accessibility and adaptations: Purchase, install, maintenance and repairs of environmental modifications and equipment, to home or vehicle

Extended home care services: Home care services that exceed those in state plan (traditional) MA services

Family counseling and training: Provided for the individual and/or family members, includes person-centered planning

  • Home delivered meals: Nutritional meals delivered to the individual’s home

Homemaker service: General household cleaning when the person or caregiver is unable to perform the activities

Housing access coordination: Services to assist the individual plan, find and move to a

home of his/her own

  • Independent Living Skills (ILS) training: Focus on developing, maintaining and improving the individual’s skills for living in the community
  • Night supervision services: Overnight awake staff in the individual’s home

Prevocational services: General work skills services that prepare an individual for a job with competitive pay


Residential care: Support and health supervision provided to an individual living in a licensed residential setting

  • Respite care: Short-term services provided to the individual due to family member or primary caregiver needing some relief, provided in the person’s home or in a specific out-of-home setting

Specialized supplies and equipment: Devices, controls, supplies that allows an individual to interact with others and/or do daily activities

Supported employment services: Services to assist a person find and keep paid

employment in a situation with people without disabilities; services may involve working directly with the individual or indirectly with employment related tasks

Transitional services: Items, expenses, etc. to assist a person move from a licensed setting into their own home

Transportation: Transportation required to access community activities/services



*This includes medically necessary hospital care, doctor care, dental services, therapies, counseling, medical transportation, home care, etc. For more information, read The Arc Guide to Medical Assistance.


**See Arc Guide to MnCHOICES


Minnesota Statute (Law) provides more detailed information on Home and Community-Based Service Waivers for Disabled. It is available at



For further information or advocacy services, contact The Arc Minnesota at 952-920-0855 or toll-free at 833.450.1494 or visit (Please note: This document is not legal advice, and should not be construed as such. Thus, no information herein should replace the sound advice of an attorney.)

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