Adult foster care
Adult foster care providers offer a family-centered living situation in their home in which 24-hour supervision, personal care, assistance and protection are given as well as room, board and laundry services. It provides people with a community living alternative which includes the normal supports of every day life — family, friends, job or training activities, recreational opportunities and the privacy and comfort of a home setting.
Adult foster care helps people to help themselves. It is a program created out of the belief that people are happiest living active and purposeful lives in their own community.
Who is it for?
People living in adult foster care homes are men and women, 18 and older, who, because of mental or physical disability, cannot manage on their own anymore. This living arrangement is intended for single persons or husband and wife, with no more than four such persons in a single-family home. The care may be provided by single or married people over the age of 21 who meet the qualifications and criteria established for providers of adult foster care.
People living in adult foster care homes need support remaining within or to return to the community from an institutional setting. As individuals, their needs and abilities may vary, but, remaining in the community is a common goal.
How does the program work?
Prior to placement in an adult foster home, Rice County Social Services ensures an assessment is completed to determine if adult foster care is appropriate for the individual. The assessment may be completed in many different forms.
If foster care is deemed inappropriate for an individual, she/he may discuss alternative living arrangements with his/her social worker.
If foster care is appropriate, the county foster care licensor is notified. The licensor will then check into the availability and willingness of foster care homes to accept a new resident.
At this time, a pre-placement visit to the prospective foster care home is arranged. The purpose is two-fold: 1) for the prospective resident to see the house and surrounding community; and 2) for the resident and provider to meet and get to know each other, as well as any roommates to see if this living arrangement would work out.
If everyone agrees the arrangement is acceptable, plans for placement are initiated. If either party declines, other plans are made. No arrangement is necessarily permanent and either party may terminate the agreement should the need develop.
MAGIC mission statement
All persons are entitled to independence regarding their quality and style of life. Vulnerable individuals, however, may require assistance with decision making while respecting their dignity, autonomy and well-being.
The Minnesota Association for Guardianship and Conservatorship (MAGIC), is a membership organization to explore substitute decision-making. MAGIC brings together and supports professionals who are committed to insuring that the appropriate level of quality substitute decision making is applied consistently. The organization provides education and communication for those interested in guardianship or less restrictive services.
Journal of the Minnesota Association for Guardianship and Conservatorship is published by MAGiC for professional people who are substitute decision-makers. Questions, comments, or requests to be added to the mailing list may be made by calling: 651-292-9131 or in writing to MAGiC, P.O. Box 14246, St. Paul, Minnesota 55114, Anita Raymond, Editor Mary Ferris Jensen, Associate Editor Mary Watson, Associate Editor Vickie Berg, Associate Editor Lori Guzman, Associate Editor Bruce Myers, Advertising
@ Copyright 2000 by Minnesota Association for Guardianship and Conservatorship.
Rice County has a well-developed adult foster care program, with 96 licensed adult foster care homes serving individuals with developmental disabilities, mental health issues and frail elderly. Anyone interested in providing adult foster care or utilizing adult foster home services, contact Kate Hanson, Adult Foster Care Licensor, at 507-332-6255 or email.
Megan ThomasAdult Services Manager
Rick GiesekeDeputy Administrator-Community Services
Rice County Government Services Building
320 Third St. NW
Faribault, MN 55021
Phone: 507-332-6115Fax: 507-332-6247
Toll Free: 888-200-4807
24-hour crisis line: 800-422-1286
Northfield Community Resource Center
1651 Jefferson Parkway, #110, Door 17, Northfield
Hours by appointment only
Email the Financial Assistance office
- What is "family" adult foster care vs. "corporate" adult foster care?
A "family' foster home is the personal residence of the license holder. A "corporate" foster home is a home where the license-holder does not reside, and where staff are hired to care for the residents. In both cases, licensing standards are essentially the same
- Who can be placed in an adult foster home?
Individuals placed in adult foster homes have varying diagnoses, and in fact may have a combination of diagnoses. Foster homes can serve individuals who are developmentally disabled, mentally ill, physically disabled, elderly and sometimes persons who are chemically dependent (if they have maintained a significant period of sobriety). These individuals must have a social worker/case manager involved in their lives who will assess the need for placement, structure the terms of placement, and follow-up to determine if the placement is suitable.
- What services do adult foster homes offer?
In addition to room and board, an adult foster home provides services as stipulated in the Individual Resident Placement Agreement. Overnight supervision is perhaps the most critical feature of adult foster care, which distinguishes it from other residential settings in the community.
Depending on the vulnerable adult's particular needs, other negotiable services typically include the following: medication administration or monitoring; assistance with activities of daily living, prompts for personal hygiene, assistance with managing cash resources, arranging for medical appointments, transportation, meal preparation, shared dining, etc. Adult foster care licensers and case managers carefully match residents with providers whose skills and/or willingness to provide various services are in keeping with the resident's needs.
- How does payment work for adult foster care placements?
The state of Minnesota legislates that rates paid for adult foster care through Group Residential Housing (GRH) funds must not exceed the rate paid by an individual not receiving a GRH rate. Essentially, no individual placed in adult foster care (whether public or private pay) can pay less than the state-established base rate, also known as "room-and-board." The actual reimbursement for the care of a resident is set on a case-by-case situation (in family homes), or facility costs (in corporate homes). Some individuals pay privately, if their assets do not allow them to qualify for public funding.
More commonly, residents qualify for public funding-at least in part. Some residents receive multiple sources of public funding which supports their placement (i.e. GRH, SSI, Social Security Survivor's Benefits, RSDI, etc.). Some residents have employment income or other assets that are evaluated in order to determine whether they qualify for public funding, or whether they must either "spend-down" or contribute partial payment from these other sources of income/assets.
Some residents also qualify for "waivered services" funding under the federal Medicaid program. Examples of such waivers include: Home-and-Community-Based Waivers for Persons with Developmental Disabilities (HCBW), Community Alternatives for Disabled Individuals (CADI) Waiver, Elderly Waiver (EW), Alternative Care (AC) Waiver, and Traumatic Brain Injury (TBI) Waiver. Waivered services funding pays for services to the individual resident.
- What other placement options exist for vulnerable adults?
Aside from Adult Foster Care, there are several housing options for vulnerable adults. Such settings include, but are not limited to: