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Memory Care: Minnesota's Dementia Care License

Minnesota requires a distinct MDH license -- not just a disclosure -- for any community operating a secured dementia care unit. Here is what to verify before touring.

HomeState RulesMemory Care: Minnesota's Dementia Care License

Memory care: a distinct Minnesota license, not just a disclosure

In Minnesota, "memory care" is not a marketing label a community can adopt on its own -- it is a distinct, mandatory state license category issued by MDH. Any assisted living facility that operates a secured dementia care unit must be licensed as an "assisted living facility with dementia care" (Minn. Stat. 144G.10, subd. 2(b)). There is no separate, lower-tier "memory care certification" -- it is this license category, full stop.

That license category carries two additional legal requirements beyond the base assisted living license:

  • Dementia-specific staff training (Minn. Stat. 144G.83) -- every staff member assigned to care for a resident with dementia must be specially trained in person-centered dementia care before being assigned unsupervised, with documented initial and ongoing training requirements.
  • Mandatory written disclosure (Minn. Stat. 325F.72) -- before a family signs an admission agreement, the facility must provide a written disclosure covering who may live in the secured unit, the assessment and service-plan process, staffing credentials and duties, physical environment and security features, programming and family involvement, and the fee schedule for additional services.

Bottom line for families: if a community advertises "memory care" in the Twin Cities, ask to see its MDH license type directly -- it should say "assisted living facility with dementia care," not just "assisted living facility."

What to ask for on a tour, by name

Ask to see the community's MDH license and confirm it specifically reads "assisted living facility with dementia care," not just "assisted living facility." You can verify this independently, free, using the MDH Health Care Provider Directory before you ever set foot on a tour.

Also ask for the written pre-admission disclosure required under Minn. Stat. 325F.72 -- by law it must cover admission criteria for the secured unit, the assessment and service-plan process, staffing credentials and duties, physical security features, and the fee schedule for additional services. A community that cannot produce this document on request is not meeting a basic legal obligation.

Questions families ask

Who regulates home care agencies that send caregivers into a senior's home in the Twin Cities?

Home care providers in Minnesota are licensed and regulated by MDH, and complaints against a licensed home care agency go to the same Office of Health Facility Complaints line as facility complaints: 651-201-4200 (metro) or 1-800-369-7994 (greater Minnesota). No separate, dedicated home-care-only complaint hotline exists.

What is the Elderly Waiver and what does it cover?

The Elderly Waiver (EW) is Minnesota's Medicaid home- and community-based services waiver for seniors 65+ who are Medical Assistance eligible and assessed via MnCHOICES as needing a nursing-facility level of care. It covers personal care assistance, homemaker services, home health aide, case management, adult day services, respite care, home-delivered meals, and — inside licensed assisted living — 'customized living' or '24-hour customized living' service packages, but it never pays room and board.

What is Alternative Care and how is it different from the Elderly Waiver?

Alternative Care (AC) is a Minnesota state-funded program — no federal Medicaid match — for seniors who need Elderly-Waiver-equivalent services but aren't yet financially eligible for Medical Assistance. It uses largely the same service array and cost cap as EW and is designed to delay or prevent a Medicaid spend-down or nursing home placement, while EW itself requires the person to already be MA-eligible.

How do I apply for Medical Assistance long-term care or a waiver in the Twin Cities?

Start by contacting your county human services agency (Hennepin, Ramsey, Dakota, Anoka, or Washington County) or calling the Senior LinkAge Line at 1-800-333-2433 to request a MnCHOICES long-term-care needs assessment, which determines functional eligibility, alongside a separate financial application for Medical Assistance.

Does Medicaid pay for the full cost of assisted living in Minnesota?

No. Medical Assistance, through the Elderly Waiver, pays only for the care-services portion delivered inside a licensed assisted living facility, never the room-and-board charge. Minnesota does not have a broad state subsidy that covers private-pay room and board, though very-low-income residents in certain licensed settings may qualify for a separate, narrower Housing Support benefit to help offset it.

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