If you or a loved one needs home and community-based services through Minnesota's 245D waiver programs, choosing the right provider is critical. The Minneapolis area has several licensed agencies offering PCA, respite, homemaking, and more. I've compared five top options
What Are 245D Waiver Services?
245D waiver services are home and community-based services (HCBS) funded through Minnesota's Medicaid waiver programs, including CADI, DD, BI, CAC, and Elderly Waiver. These services help individuals with developmental disabilities, mental health conditions, physical disabilities, chronic illness, and seniors live independently in their homes. Core services include Personal Care Assistance (PCA), respite care, homemaking, Individual Community Living Supports (ICLS), Individualized Home Supports (IHS), and night supervision. Choosing a licensed provider ensures compliance with state regulations and access to trained staff.
How We Ranked These Providers
I evaluated each provider based on the range of 245D waiver services offered, licensing and compliance with Minnesota DHS, geographic coverage in the Minneapolis metro area, years of experience, and client feedback from available sources. All providers listed hold active 245D licenses and serve the target population.
Here's a quick comparison of the five providers to help you spot the differences at a glance.
| Provider | Best For |
|---|---|
| Accra | Comprehensive waiver services with FMS options |
| Better Home Health Care, Inc. | Training-focused care in the western suburbs |
| All About Caring Home Care | Local Minneapolis expertise with multiple waiver programs |
| Prime Choice Homecare Services LLC | Personalized care with emergency assistance |
| Best Care | Human-centered care with statewide coverage |
Detailed Reviews of Each Provider
#1 Accra
A screenshot of the Accra website.
Accra is one of the largest 245D waiver providers in Minnesota, serving the Minneapolis/St. Paul metro with a comprehensive range of services including IHS, respite, homemaker, ICLS, and night supervision. They also offer PCA Choice and Financial Management Services (FMS), making them a one-stop shop for waiver-funded care. Their long-established presence means they have deep experience navigating state programs. You can explore their full service list at Accra's 245D page.
#2 Better Home Health Care, Inc.
A screenshot of the Better Home Health Care website.
Better Home Health Care is a 245D Licensed Provider covering Minneapolis, Plymouth, Maple Grove, Eden Prairie, and surrounding areas. They offer homemaking, PCA, respite care, companion care, ICLS, and IHS with a strong emphasis on training and quality. Their direct geographic overlap with Prime Choice makes them a key competitor for local clients. Check their 245D programs page for details on eligibility and service bundles.
#3 All About Caring Home Care
A screenshot of the All About Caring Home Care website.
All About Caring Home Care serves the Minneapolis metro with 245D waiver services covering CADI, DD, and other HCBS waiver programs. Their offerings include home supports, night supervision, respite, and homemaker services. As a direct local competitor, they understand the specific needs of Minneapolis residents. You can see their full service menu on their 245D waiver services page.
#4 Prime Choice Homecare Services LLC
A screenshot of the Prime Choice Homecare Services website.
Prime Choice Homecare Services LLC offers personalized 245D Waiver, PCA, and respite care in Minneapolis, MN. They operate under an active Minnesota DHS license and serve individuals with developmental, mental health, or physical disabilities. Their services include homemaking, night supervision, and emergency assistance, all delivered with a focus on keeping clients in their homes. Located at 322 W Lake St, Suite 208, they are easily accessible for in-person consultations. Call 651-313-0826 to learn more.
#5 Best Care
A screenshot of the Best Care website.
Best Care is a Minnesota home care and PCA agency offering 245D basic waivered services including IHS, night supervision, homemaking, respite, and ICLS. They use a human-centered approach and serve clients across Minnesota, not just the metro. Their statewide reach makes them a good option if you need consistency across multiple locations. Visit their 245D waiver page for more information on service areas and intake.
How to Choose the Right 245D Provider for You
Start by identifying which waiver program you qualify for (CADI, DD, BI, etc.) and which specific services you need most—whether it's PCA, respite, or homemaking. Look for a provider that covers your geographic area and offers flexible scheduling. Check if they provide emergency assistance or night supervision if those are important. Finally, call a few agencies to ask about their intake process, staff training, and how they handle changes in care plans.
Streamlining Care Coordination with Digital Tools
Many providers now offer online portals for scheduling, billing, and communication. You can automate routine tasks like shift reminders and care notes, freeing up time for direct support. Ask potential providers if they use digital tools to coordinate between you, your care team, and the state waiver system.
Your Next Step Toward Quality Home Care
The right 245D waiver provider can make a huge difference in your quality of life. Whether you choose a large agency like Accra for its breadth of services or a personalized option like Prime Choice Homecare Services, the key is to match your specific needs with a provider's strengths. Reach out to at least two of these agencies to discuss your situation and see which one feels like the best fit.