If you run or are starting a Minnesota home and community-based services (HCBS) agency, the term "245D" comes up everywhere. It's the section of Minnesota statute that licenses providers delivering services to people with disabilities or older adults under specific waiver programs. This guide explains what 245D is, who needs it, what it requires day to day, and how a modern platform fits into all of it.
245D in one paragraph
Minnesota Statutes Chapter 245D — administered by the Department of Human Services (DHS) — sets the licensing standards for HCBS providers in the state. There are two tiers: 245D Basic Support Services (less intensive, like homemaker or respite) and 245D Intensive Support Services (more intensive, like in-home support or supported living). Different services map to different waiver programs (CADI, BI, CAC, DD, Elderly Waiver). The license is issued to the agency, not the individual caregiver.
Who actually needs a 245D license
If your agency provides services that fall under the HCBS waivers — IHS, ICLS, CFSS for some service models, supported living, respite, day services, and many others — you need a 245D license. Some service lines (notably parts of CFSS, certain personal care models, and PDN) are licensed under different statutes. If you aren't sure which license applies, the DHS Licensing Division is the authoritative source; we always recommend confirming directly with them rather than relying on third-party summaries.
What 245D actually requires you to do
The core obligations break into a few buckets: (1) Person-centered planning — you document each person's goals, preferences, and how services support them. (2) Coordinated service and support plan addenda — you write a 245D-compliant service plan that aligns with the case manager's CSSP. (3) Annual and incident-driven reviews — Individual Abuse Prevention Plans (IAPPs), service plan reviews, and progress documentation. (4) Staff qualifications and training — orientation, ongoing training, and documented competencies. (5) Service documentation — what was delivered, when, by whom, with what outcome. (6) Incident reporting and the Maltreatment of Vulnerable Adults Act compliance.
The role of EVV under 245D
Electronic Visit Verification is a federal requirement (under the 21st Century Cures Act) that Minnesota implements through its own infrastructure. For services delivered in someone's home that involve clock-in/clock-out, EVV captures the date, time, location, service type, caregiver, and recipient. EVV records have to be reconcilable with the visits you bill. The simplest mental model: if a visit isn't backed by clean EVV data, billing it is risky.
Where most agencies struggle
Three things consistently trip up 245D providers: keeping IAPP reviews current, tracking authorization usage in real time, and producing audit-ready documentation across many caregivers and clients. These are exactly the workflows a purpose-built platform should automate — instead of relying on spreadsheets, paper folders, and email threads.
How Infiniti Solution fits
Infiniti Solution is built to serve Minnesota DHS 245D providers. The platform consolidates client profiles, IAPP and service plan tracking, authorization usage, EVV, timesheets, and billing-ready records — so the work that 245D requires is captured as you operate, not reconstructed at audit time. We don't make certification claims for you (your license is yours), but we do build the workflows so your records hold up.
If you're standing up a 245D agency or trying to clean up an existing one, book a demo. We'll walk through your specific service mix and show how the platform supports the documentation you'll be expected to produce.
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