Long Term Care Services and Supports

The MnCHOICES Assessment is used for the general population for determination of eligibility for waiver and home and community based services.  It assesses general health, the person's ability to take care of routine daily tasks, and any help they may receive from family and friends.  The MnCHOICES Assessment assists people with service planning and can recommend alternative community resources as appropriate.  If determined eligible, programs offered by the State of Minnesota and administered by Otter Tail County include:

Community Alternative Care (CAC)


  • Under age 65
  • Determined to meet hospital level of care criteria
  • Certified disabled
  • Eligible for Medical Assistance

Community Alternatives for Disabled Individuals (CADI)


  • Under age 65
  • Determined to need nursing facility level of care
  • Certified disabled
  • Eligible for Medical Assistance

Brain Injury Waiver


  • Under age 65
  • Diagnosed with a brain injury or related neurological condition that resulted in significant cognitive and behavioral impairment
  • Determined to need nursing facility or neuro-behavioral hospital level of care
  • Certified disabled
  • Eligible for Medical Assistance

Elderly Waiver (EW)


  •  Age 65 and over
  • Determined to need nursing facility level of care
  • Eligible for Medical Assistance

Alternative Care Program (AC)


  • Age 65 and over
  • Determined to need nursing facility level of care
  • Meets AC financial and service eligibility requirements

Personal Care Assistant (PCA)
  • Eligible for Medical Assistance
  • Determined dependency in activities of daily living

These programs are intended to promote community living and independence by providing appropriate health care and support services based on individual needs.

For more information, or to make a referral for services, contact Human Services at 218-998-8150.
Additional information about publicly funded services for elderly and persons with disabilities can be found on the Minnesota Department of Human Services website at www.dhs.state.mn.us

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