Individual housing options which door is right for you
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Individual Housing Options–Which Door is Right for You?. 2013 Minnesota Age & Odyssey Conference June 18, 2013. Multi County Housing Group. Anoka Carver Chisago Crow wing Dakota. Hennepin Ramsey Scott St. Louis Washington Wright. Coming Together . Sharing ideas. History.

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Individual housing options which door is right for you
Individual Housing Options–Which Door is Right for You?

2013 Minnesota Age & Odyssey Conference

June 18, 2013

Multi county housing group
Multi County Housing Group




Crow wing





St. Louis



Coming Together

Sharing ideas


  • Institutions

  • Living in your own home

Increased Options


Changes new housing options
Changes = new housing options

  • State Moratorium on Corporate Foster Care

  • Limits on Traditional Developments

  • Person’s demanding change

  • Person-centered

  • Dropping the old Foster Care “looks/smells” like test

  • Ability to Consider Non-licensed Programs

  • Separating Services from Housing

  • Rediscovering New Ways to Combine Services/ Supports regardless of the “level” of need

Shared living option
Shared Living Option

  • Two Choices of setting:

    • Individual’s own home with a live-in caregiver (non-licensed)

    • Caregiver’s home with a foster care license

  • Limited to one or two individuals

  • Live-in caregiver provides needed supports to individual(s)

  • Planned respite for the caregiver

  • Access to intensive training specific to the needs of the individual(s)

Iho basic tenants
IHO: Basic Tenants

Individual Controlled

Iho basic tenants1
IHO: Basic Tenants

Individual Controlled

Important distinctions

Important Distinctions

Individual Controlled -Own Home


Provider Controlled

Individual controlled own home
Individual Controlled – Own Home

  • Person Chooses their Living arrangement

  • Person chooses Community to live in

  • Person/Guardian is lease holder or owner

  • Housing arrangement is NOT dependent on services received

  • Person chooses services and who will provide them in their “own home”

  • Person chooses roommate(s), if desired

  • Person can stop using a provider and not have to move

Provider controlled two types
Provider Controlled – Two Types

  • 1. Supportive Housing Setting

    • Provider chooses living arrangement (typically Apartment building)

    • Non-licensed setting

    • Provider chooses Community

    • Provider or consumer is lease holder

    • Consumer has their own apartment with/without roommate

    • Congregate dining and activities MAY be available

    • Services ARE typically dependent of provider/location

    • Multiple Consumers live in same a building / Complex

    • Support staff on-site 24/7 or set hours daily

    • Staffing costs typically shared for ongoing presence

Provider controlled two types1
Provider Controlled – Two Types

  • 2. Community Living Setting-Transitional Lease

    • Consumer chooses living arrangement

    • Non-licensed setting

    • Consumer chooses Community

    • Provider is lease holder

    • Consumer has their own home with/without roommate

    • Services NOT dependent of provider that holds lease

    • Consumer chooses Service provider(s)

    • Plan to transition lease to consumer within 24 months

Provider controlled clarification
Provider Controlled – Clarification

  • 2. Community Living Setting-Transitional Lease

    • If the provider holds the lease, without a plan to transition to the individual, they will not be able to access waiver services once the definition of Home and Community Based Services setting is approved by the Centers for Medicare and Medicaid (CMS), unless the commissioner of DHS specifically approves an exception.

Home ownership indicators for readiness
Home Ownership“Indicators for Readiness”

Stable income

Manageable debt

Stable rent history

Good credit/ bill paying history

Self motivated

Save for down payment

Questions for consideration
Questions for Consideration

  • Who will handle medical appointments?

  • How will staff be selected?

  • Will there be a lease?

  • How will you choose roommates?

  • How will food be shared?

  • Who will do the shopping?

  • What if we don’t agree on staff selection?

  • Will you have live-in or shift staff?

  • Who will mow the lawn?

  • What happens if someone moves?

Individual housing options which door is right for you

What people or things can help me live in this setting?

Tools: Your Self-Directed Plan

Where do I want to live?

What kind of housing do I want?

Do I want a room mate?

How much money do I need to pay for housing?

What is my monthly income?

How much money do I need to pay for expenses each month?

What do I need help with to live in this setting?

Do I have any concerns about living in this setting?

Individualized housing options resource guide
Individualized Housing Options Resource Guide


  • Choosing Housing

  • Employment, Income and Budgeting

  • Help and Supports

  • Roommate, Housemate or Living Alone

  • Household Furnishings and Supplies

  • Putting Your Plan Together

Anther helpful resource
Anther Helpful Resource

The U of M “Quality Mall” offers an excellent resource on Consumer Controlled Housing Options and steps.

Next steps
Next Steps:

As a County and Case Manager.

  • Support Choice and Flexibility in Housing Options

  • Match Help and Support to the Person’s Unique Needs

  • Develop an Individualized Plan One PERSON at a Time

  • Share YOUR Experience with Others

Challenge your Agency to expand choice

Offer new options