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Using the Elderly Waiver and CADI Waiver for Memory Care in Minnesota

The Elderly Waiver and Community Access for Disability Inclusion Waiver are Minnesota state programs that fund specialized memory care services for eligible residents. These waivers allow seniors to receive professional dementia care in an assisted living setting like Atlas Villas rather than a nursing home. Eligibility is determined by a combination of clinical need and financial assets through Medical Assistance. At Atlas Villas, the Elderly Waiver is accepted after 24 months of private pay.

  • State-funded waivers provide a financial pathway for families to access high-quality memory care services in Centerville.
  • Assessment requires a MnCHOICES evaluation through the local county.
  • Funding covers professional care services while the resident pays for room and board.
  • Application support is available through county social services or the Senior LinkAge Line.

 

What are the Elderly Waiver and CADI Waiver

Minnesota utilizes specific programs to help individuals live in community settings rather than institutional environments. The Elderly Waiver is the primary program for residents aged 65 and older who require a nursing facility level of care but prefer a residential memory care community. It is a partnership between federal and state funding designed to support aging in place. The Community Access for Disability Inclusion Waiver serves a similar purpose but is designated for individuals under the age of 65 who have a certified disability. Both programs are essential tools for families in the North Metro area looking to secure long-term support for a loved one with Alzheimer’s or dementia.

 

Clinical and Financial Eligibility Requirements

To qualify for waiver funding, a resident must meet two separate sets of criteria. Clinically, the individual must be found to require significant assistance with daily living activities or specialized supervision due to memory impairment. This is verified during a state-mandated assessment. Financially, the individual must qualify for Medical Assistance. This involves a review of monthly income and total countable assets. Because these limits are strict, many families enter our community as private pay and transition to waiver funding once they reach the state-required asset threshold. Please note that Atlas Villas requires 24 months of private pay before accepting the Elderly Waiver.

 

Steps to Apply for Waiver Funding in Minnesota

The application process involves multiple agencies and can take several weeks to complete.

  1. Contact the local county social services office to request a MnCHOICES assessment.
  2. Complete the in-person evaluation to determine the required level of care.
  3. Submit an application for Medical Assistance to verify financial eligibility.
  4. Verify that your chosen facility is an enrolled provider for the specific waiver.
  5. Coordinate with the county case manager to authorize the start of services.

 

Managing the Financial Spend Down Process

The term spend down refers to the period where a resident uses their personal savings or home equity to pay for care until they meet the asset limits for Medical Assistance. During this time, it is vital to keep detailed records of all medical and care-related expenses. Unlike large institutions that may have limited availability for waiver participants, Atlas Villas works with families during this transition to ensure the resident remains in their familiar environment. It is important to note that Atlas Villas accepts the Elderly Waiver after a 24-month period of private pay. While the waiver covers care services, the resident still uses their personal income, such as Social Security, to cover the room and board portion of their stay.

 

Benefits of Boutique Residential Care Settings

Choosing a smaller facility for waiver-based care offers distinct advantages. In our 16-room community, we do not differentiate between funding sources when it comes to the quality of life or technology provided. Every resident has access to our innovative sky ceilings for sundowners syndrome and our specialized sensory rooms. Large facilities often feel institutional, especially in high-occupancy wings. A boutique setting provides the stability and routine that dementia patients require, which is especially beneficial for those navigating the complexities of state-funded programs.

 

Common Questions About Minnesota Care Funding

Does Atlas Villas accept waiver residents? Yes, we are a provider for these programs. We focus on assisting our current residents as they transition from private pay to state support after 24 months of private pay to ensure their care is never interrupted.

How long does the MnCHOICES assessment take? The initial assessment usually takes a few hours to complete in person, but it can take several weeks to get on the county schedule and receive the final results.

Can a spouse still live at home? Minnesota has spousal impoverishment protections that allow a healthy spouse to retain a certain amount of assets and income while the other spouse receives waiver funding for memory care.

What is covered by the waiver? The waiver pays for the care staff, medication management, and specialized therapies. It does not pay for the actual rent or food, which are categorized as room and board.

Who manages the waiver once it is active? A county-assigned case manager or a health plan care coordinator will oversee the service plan and perform annual reviews to ensure the resident still meets eligibility.

Is there a difference in care for waiver residents? In our community, every resident receives the same high-level care, regardless of whether they pay privately or through a state waiver program.

 

Understanding state funding is a critical part of long-term planning for memory care. By utilizing programs like the Elderly Waiver, families in Centerville and the surrounding North Metro can access specialized, compassionate care that prioritizes the safety and dignity of their loved ones. Atlas Villas remains a committed partner in helping families navigate these financial resources and ensuring a smooth transition for every resident.

 

By: Atlas Villas Management
Last Updated: April 16, 2026
Atlas Villas Memory Care offers innovative dementia and Alzheimer’s support in a personalized 16-room environment.