Community Alternatives for Disabled Individuals


The Community Alternatives for Disabled Individuals (CADI) program is intended to promote community living and independence by providing appropriate health care and support services based on individual needs.

In Minnesota, disabled children and adults who live in nursing homes, or require a nursing home level of care, may be eligible for a home and community-based alternative. Anyone has the right to apply for the CADI program.

Individuals can receive CADI services while living in your own home, the home of a relative or friend, or another community setting such as a licensed foster home.


In order to be eligible for CADI you must:
  • Be certified as disabled by either the Social Security Administration or by the State Medical Review Team
  • Be eligible for Medical Assistance (MA). Eligibility for MA is based only on your income and assets, even though you may live with your parents or spouse. However, parents of minor children are required to pay a contribution toward the medical bills paid by MA for their child, if their income is above certain limits
  • Be under age 65
  • Choose community care
  • The cost to MA for community care cannot exceed the cost to MA for nursing home care
  • Have had a Preadmission Screening (PAS) (A brochure on PAS [DHS-2497] is available through your county social services agency or public health nursing service.)
  • Have an individual care plan that assures your health and safety
  • Require the level of care provided in a nursing facility


To apply, contact your county social services agency or public health nursing service. They can assist you in the application process. Others involved in the process may include your family and friends, your physician, neighbors, and current care providers

You may also contact Nancy Reid or Barb Hegarty for more information.