IHS with training vs. without training in Minnesota

The difference between IHS with training and IHS without training is the purpose of the service. Without training focuses on support with existing skills; with training focuses on learning. “Without training” does not mean the worker is untrained. Minnesota also has an IHS with family training option. The person's age, living arrangement and assessed needs help determine which option fits. Minnesota DHS explains the three IHS options.

Start with the activity that is difficult

Before choosing a service name, write down one routine the person wants help with. Include what they already do, where they get stuck, and what they want to do more independently. Ask the person how they prefer to receive help.

Use these prompts for a planning conversation:

• The activity: What does the person want to accomplish?
• Current ability: Which parts can they manage already?
• Support requested: What reminders, assistance or practice would help?
• Setting: Where does the activity happen?
• Person's preference: What would make the support comfortable and useful?
• Review: How will the person and support team know whether the arrangement is working?

These are discussion prompts, not an assessment or a service authorization.

When to discuss IHS without training

If the person needs assistance using or maintaining current skills, ask about IHS without training. Bring examples of the support needed during the actual activity, rather than requesting a block of time without describing its purpose.

For example, a planning note might say: “I can follow my shopping list, but I want support organizing the trip and following through.” This is an illustrative conversation starter, not a determination that a particular task is covered.

When to discuss IHS with training

If an adult wants to learn or develop a skill, ask about IHS with training. A useful conversation identifies the skill, the practice opportunities, and how progress might be reviewed.

An illustrative note might say: “I want to learn to plan my shopping trip, compare choices within my budget, and practice the routine.” Ask how teaching would be adapted to the person's pace and preferences. Do not assume every hour of requested support is a training hour.

Where family training fits

IHS with family training addresses support and training for a person and/or family in the family home. Ask the case manager who needs training and how the proposed service fits the living arrangement. The DHS IHS policy describes eligibility and service restrictions.

What if the main concern is overnight support?

Describe nighttime needs separately. IHS is not a catch-all for continuous staffing or someone being present just in case. DHS service-selection guidance distinguishes active community-living services from general standby supervision.

Our night-supervision planning guide helps you organize the overnight conversation. A case manager should review the service mix and any overlap before authorization.

Questions to ask a potential provider

1. Can you support the person's goals at this address and in the requested setting?
2. What days and times could you actually staff?
3. How would the person participate in choosing routines and reviewing progress?
4. Who should we contact when the schedule or support needs change?
5. What still needs authorization before a start date can be confirmed?

Clemens Health is based in Bloomington. Contact our team to discuss the person's Twin Cities location, preferred schedule and service needs. If you are ready to refer, use our referral checklist and submit a referral. Availability and service fit are confirmed individually.

Planning worksheets for the next step

• Plan everyday support.
• Prepare a skill goal.
• Interview an IHS provider.

Browse all guides and worksheets.