Licensed Services

245D Waiver Services

Basic & Intensive Support Services through the 245D Home & Community Based Services.

PDS offers Basic & Intensive Support Services through the 245D Home & Community Based Services. PDS direct support staff are specifically trained to provide services to disabled and senior individuals in a community setting. All direct support staff are required to use electronic visit verification (EVV).

Cost & funding

Services are funded through Medical Assistance (Medicaid) waivers and county programs — no out-of-pocket cost for eligible clients.

How to start

Contact PDS or ask your case manager, county worker, or qualified professional to send a referral. We'll help determine eligibility and guide next steps.

Self-referral welcome

Basic Services

Basic 245D services support daily living, safety, and caregiver relief in home and community settings.

Individualized Home Supports (IHS) Without Training — Supervision, guidance, cueing, and assistance with daily tasks at home or in the community.
Homemaker Services — Light housekeeping and laundry; meal prep and shopping for groceries, clothing, and supplies; simple repairs, arranging transportation, and assistance with activities of daily living.
Respite (In‑Home & Out‑of‑Home) — Temporary care to give the main caregiver a break, short- or long-term, including overnight stays.
Adult Companion Services — Non‑medical social support and skill-building such as coping, community integration, and light supervision.
Night Supervision Services — Overnight monitoring and assistance with ADLs/IADLs, safety, and skill reinforcement.
Individual Community Living Supports (ICLS) — For adults 65+: reminders, cues, moderate supervision, adaptive skills, household tasks, health/safety, and community engagement.
24‑Hour Emergency Assistance — On-call problem-solving and immediate response when urgent support is needed.

Intensive Services

Intensive 245D services build independence, employment readiness, and community living skills.

Individualized Home Supports (With Training / Remote / With Family Training) — Skill-building to support daily living, health, community participation, and independence, offered in-person or remotely.
Supported Living Services (SLS) — Ongoing, personalized help with managing everyday tasks and living more independently.
Semi‑Independent Living Skills (SILS) — Support for people who can live on their own with some guidance, focusing on budgeting, cleaning, meal prep, and social skills.
Prevocational Services — Helps individuals build general work skills to prepare for future jobs with competitive pay.
Employment Exploration Services — Helps individuals learn about job options in their community through hands-on experiences, tours, and job shadowing.
Employment Development Services — Supports individuals in developing the skills and connections needed to pursue competitive employment.

How to Start

Contact PDS or ask your case manager to send a referral. Our team will review eligibility, explain available services, and help develop a person-centered service plan.