Client referral

Personal Care Assistance

Self-directed Personal Care Assistance (PCA) Choice services are available to both children and adults with disabilities, chronic diseases, behavioral diagnoses and mental illness who need assistance with personal care in their home or in the community. These services are funded through government health care programs, including the Medical Assistance and MinnesotaCare programs, to help people who are unable to fully care for themselves, allowing them to stay in their homes. Personal Care Assistance can help with “activities of daily living” such as dressing, grooming, eating, bathing, transfers, mobility, positioning and toileting, as well as light housekeeping, laundry and meal preparation for adults and other health-related tasks. Clients independently recruit, hire and train the PCAs who provide their care. The PCA Choice option gives you a greater level of responsibility in managing your care while Accra assists in handling the employment and management-related functions of their PCA. Individuals needing care must either be eligible for medical assistance, MN Care, a medical assistance waiver or the Alternative Care program.

Financial Management Services

Accra’s Financial Management Services enable people with long-term care needs or disabilities to easily hire and employ caregivers under the Consumer Directed Community Supports (CDCS) program or the Consumer Support Grant (CSG). Accra helps people directly employ support workers and purchase other supports that you need for living in the community. You will receive information, assistance and tools for being a participant-employer. You decide how your program budget is used, receive approval from your county case manager, hire your own employees and choose your service vendors. Accra then handles all required employer and employee paperwork, payroll, vendor payments, reimbursements, claims processing, tax filings and workers’ compensation.

245D Waivered Programs

Accra is a Basic 245D licensed provider of Individualized Home Supports without Training; Individual Community Living Supports; Respite; Homemaker; and Night Supervision Services. In each service, you select a trusted, qualified worker, suited for your needs. Your assigned 245D Accra Service Coordinator will work with you and your county case manager to set-up and administer your Basic 245D Waivered Services, ensuring that all workers are properly trained. Accra also administers Caregiver Living Expenses, which provide reimbursement of certain expenses, such as rent and food, incurred by an unrelated caregiver who is living in the same household as an individual receiving waivered services and providing approved services to that individual. Accra’s Basic 245D Waivered Services include:

• Individualized Home Supports without Training: Direct supervision, cueing, guidance, instruction, assistance with activities of daily living, or assistance with coordinating and attending community living activities. 
• Individual Community Living Supports: Services and support for older adults who need reminders, cues, intermittent/moderate supervision or physical assistance to remain in their own homes
• Respite (In Home or Out of Home): Short-term relief for primary caregiver
• Homemaker Services: Cleaning, laundry, meal preparation, shopping for food and supplies
• Night Supervision: Overnight assistance and monitoring from an awake overnight staff

Home Health Care

Home Health Care provides medical and health-related services and assistance with day-to-day activities to people in their home. Accra primarily provides Home Health Care services to people requiring continuing care for chronic needs. These services are also sometimes offered on a short-term basis to assist with recovering from an illness or injury when transitioning from a hospital or rehabilitation center back to the home. We offer these supportive services to maintain the safety and security of the client in the community. Home Health Care options with Accra include professional nursing services, home health aide services, homemaker and rehabilitation services. Payment options include Medicare, Medicare Advantage, Medical Assistance and Medical Assistance Waiver programs, Veterans benefits, private insurance, long-term care insurance, and private pay. (Home Health Care is only available in select locations.)

Mental Health Services

Accra provides individual therapy and adult rehabilitative mental health services (ARMHS). In-person therapy is available at Accra’s Minneapolis, Duluth, Hibbing and Virginia clinics, and we offer virtual therapy via telehealth to clients throughout Minnesota. ARMHS are available to Anoka, Carver, Dakota, Hennepin, Ramsey, Scott, St. Louis and Washington County residents. ARMHS are rehabilitative services that enable clients to develop and enhance psychiatric stability; social competencies; personal and emotional adjustment; and independent living and community skills – when these abilities are impaired by the symptoms of mental illness. The services help clients in areas such as medication education and monitoring; developing basic social and living skills; developing symptoms management skills; household management; and employment-related or community living transitions.

In-Home School Services

Created in response to the pandemic, Accra is partnering with schools to assist families with the transition to remote learning. School districts work with Accra to create a plan for students with special needs who require additional support with school in the home. Accra provides families with tools to recruit, interview and supervise the DSPs, while serving as a co-employer with the family. Within a few days, caregivers can began assisting students in their homes to get online, navigate between classes, complete their homework, stay on task and manage other organizational tasks.