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PCA Program

Personal Care Assistants, support clients with Activities of Daily Living (ADL’s) within the client’s own home. These activities may include, but are not limited to, dressing, grooming, bathing, feeding, positioning, behavior redirection, assistance with in-home therapies and recreation. PCA’s may also assist clients over the age of 18 with Instrumental Activities of Daily Living (IADL’s), which include, but are not limited to, assisting clients with shopping/errands, light housekeeping, laundry, telephone use, community activities and meal planning/ preparation. Clients with PCA services have their needs evaluated by a state nurse or case manager before starting services with Life Fountain. 


245D Program


  1. Homemaker Services (HM)
  2. Companion Services
  3. In-Home Family Support Services (IHFS)
  4. Respite Care Services
  5. Personal Support (PS)
  6. Semi-Independent Living Services (SILS)
  7. Independent Living Services (ILS)
  8. Supported Employment Services (SES)
  9. Individual Community Living Support (ICLS)
  10. Employment Exploration
  11. Employment Development

Homemaker Services

Homemaker Services are provided by a trained professional that performs general household activities when the person receiving services is no longer able to manage their regular home maintenance activities, or is temporarily absent from the home. Homemakers may monitor the person’s well-being while in the home, including home safety.  Some activities may include cleaning, companionship, laundry, meal preparation, routine household cares, shopping for food, clothes and supplies, simple household repairs, social outings and transportation arrangements. 

Companion Services

 Companion Services are non-medical care, assistance, supervision and socialization related cares, that are provided to an adult in accordance with a therapeutic goal, usually in their community support plan. Home companions are dedicated to caring and enriching the lives of older adults and the physically challenged that are homebound. This may included working with individuals who are memory impaired, socially isolated, depressed and/or disabled. Companion services are provided to those who are able live independently in their own homes for as long as possible. 

In-Home Family Support Services (IHFS)

In-Home Family Support Services help people with disabilities and their families, including extended family, to live independently in the home and community. Funding for these programs is typically provided by either the Developmental Disabilities Waiver (DD) or the Medical Assistance Waiver (MA). IHFS services are provided in the person’s residence and/or in the community and are directed towards increasing and maintaining the person’s physical, intellectual, emotional and social functioning. 

Respite Care Services

Respite Services are provided to a client to allow temporary relief of duties for the primary care giver. A respite care giver works with the client either at an in-home or out-of-home respite setting that meet the necessary provider licensure and qualifications. Respite care is only provided to the primary caregiver, if the following criteria are met. A primary caregiver must be responsible for the care and supervision of the client, maintain his or her primary residence at the same address as the client and be named as an owner or leaser of the primary residence of the client .


Personal Support

Personal Support services are provided in the person we serve residence or in the community to help achieve his or her full potential and increase their independence.  Personal Support helps meet the community inclusion goals that are important to and important for the individual and based on an assessed need. Some activities may include  accessing community services, help establish new relationships and nurture existing ones, participate in community activities of the individuals choosing.

Semi-Independent Living Services

SILS also knows as Semi-Independent Living Services are there to help and support the individuals we serve to enable them to achieve personally desired outcomes and lead self-directed lives which includes training and assistance. Some activities include engaging in activities that make it possible for an adult with developmental disabilities or related condition(s) to live in the community, exercise social, recreation and transportation skills, including appropriate social behavior, manage money, prepare meals and shop, use the phone and other utilities. 

Independent Living Skills

ILS also known as Independent Living Skills is a direct training from a staff person to address the  identified skill development needs of a person in the areas of, communication skills, community living and mobility, interpersonal skills. Other community or in home skills can be learning how to cook, learning how to deposit money by going to the bank or ATM, using the bus system to learning how to ride a bus. 

Supportive Employment Services

SES also knows as Supportive Employment Services are there to help the people we serve find and keep paid employment in the community businesses where people without disabilities are employed. Activities may include individual job development and placement to find an appropriate job match for the person served, create individualized work related assessment, support long term to help the individual keep their job , supervise and monitor of the individuals job performance, coordinating transportation to and from work, job application, resume and cover letter if applicable development. 


ICSL or Individual Community Living Supports is a bundled services that includes six service categories. ICLS services offer assistance and support for people who need reminders, cues, intermittent/moderate supervision or physical assistance to remain in their own home. ICSL covers assistance and support for eligible people 65 years and older who use Elderly Waiver (EW) or the Alternative Case (AC) Program. It can include the following service categories of assistance; Active cognitive support, adaptive support service, Activity of daily living (ADLs), household management, health safety and wellness and community engagement. 


Employment Exploration

Employment Exploration Services are there to help the person served gain a better understanding and competitive, integrated employment opportunities in his/her community. Exploration activities and experiences strengthen a person's knowledge, interest and preference so he/she can make informed decisions about competitive employment. Employment exploration includes; Individualized educational activities, Learning opportunities, work experiences, additional related services identified in the person's coordinated services and supports plan (CSSP). 

Employment Development

Employment Development Services are individualized services designed to help a person achieve competitive, integrated employment, become self-employed or establish a micro-enterprise business in his/her community. The other option for Employment Development is helping an individual find a job that pays a minimum wage or industry standard, customary or prevailing wage with comparable benefits (e.g., health insurance, leave time,etc.) 

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Private Pay Services

Private Pay Services is an option for clients who may not be eligible for state funded services, but are still interested in assistance. When a client, family or friend is able to pay for the assistance needed, Life Fountain will offer services on a private pay basis. This means that the Responsible Party pays full cost for the service. This can be a great benefit to those who are in need of services and financially able to pay for assistance. Since people with the Private Pay Services are paying full cost, clients are able to access services immediately, bypassing a sometimes lengthy waiting list. 


Accepted insurances

  • Blue Cross Blue Shield
  • Health Partners
  • UCare
  • Medica
  • Straight MA
  • County Waivers
  • Genworth Financial
  • Waivers: DD, Elderly, CADI, Brain Injury, Alternative Care
  • Private Pay