This is a state plan Home and Community-Based Services (HCBS) established to provide support and services to people with disabilities and seniors to find and maintain living in the community in order to prevent homelessness.
Housing Transition: Our Housing Case Managers will help you develop a housing transition plan, support the Individual in applying for benefits to afford their housing, including helping the person determine which benefits they may be eligible for, assist the individual with the housing search and application process, assist the individual with tenant screening and housing assessments, help the individual understand and develop a budget , help individual understand and negotiate a lease, help the individual build relationship with prospective landlord, help promote and support cultural practice needs and understandings between the individual and prospective landlords/property managers, help find housing funding housing expense which includes deposit, household furniture, housing supplies and organize your move.
Under the Housing Sustaining: Our Case Managers will assist individuals to develop, update and modify a housing support and crisis/safety plan on a regular basis, help prevent early identification of behaviors that may jeopardize continued housing, educate and train individuals on roles, rights, and responsibilities of the tenant and property manager, help individuals maintain key relationships with property managers and neighbors, help individuals with community resources to prevent evictions when housing is at risk, help the individual to maintain a good tenant, lease compliance, and household management, and above all work with property manager or landlord to promote housing retention and avoid h0melessness.
Eligibility Members
A member is eligible for housing stabilization services if they meet all of the following needs-based criteria:
- Be on Medical Assistance (MA)
- Be 18 years old or older
Have a documented disability or disabling condition, defined as one of the following:
- A person who is aged, blind or has a disability as described under Title II of the Social Security Act.
- A person with an injury or illness that is expected to cause extended or long-term incapacitation.
- A person with a developmental disability (or related condition) or mental illness.
- A person with a mental health condition, substance use disorder or physical injury that required a residential level of care and who is now in the process of transitioning to the community.
- A person with a substance use disorder and is enrolled in a treatment program or is on a waiting list for a treatment program
- A person who is determined to have a learning disability according to policy adopted by Department of Human Services (DHS)
- And more
Be assessed to require assistance with at least one of the following areas resulting from the presence of a disability or a long-term or indefinite condition:
- Communication
- Mobility
- Decision-making
- Managing challenging behaviors
Be experiencing housing instability, evidenced by one of the following risk factors:
- Homeless. An individual or family is considered homeless when they lack a fixed, adequate nighttime residence;
- Currently transitioning, or has recently transitioned, from an institution or licensed or registered setting (registered housing with services facility, board and lodge, boarding care, adult foster care or community residential setting, hospital, Intermediate Care Facility for persons with Developmental Disabilities (ICF-DD), intensive residential treatment services, the Minnesota Security Hospital, nursing facility, regional treatment center
At risk of homelessness. An individual or family is at risk of homelessness when
- a) the individual or family is faced with a situation or set of circumstances likely to cause the household to become homeless, including but not limited to: doubled-up living arrangements where the individual’s name is not on a lease, living in a condemned building without a place to move, having arrears in rent or utility payments, receiving an eviction notice without a place to move or living in temporary or transitional housing that carries time limits
- b) the person, previously homeless, will be discharged from a correctional, medical, mental health or substance use disorder treatment center and lacks sufficient resources to pay for housing, and does not have a permanent place to live; would be at risk of homelessness if housing services were removed
At risk of institutionalization – meets an institutional level of care/eligible for the following waivers:
- Brain Injury (BI)
- Community Access for Disability Inclusion (CADI)
- Community Alternative Care (CAC)
- Developmental Disability (DD)
- Elderly Waiver (EW)



