Contact Us

(218) 335-4531 Phone
(218) 335-4548 Phone
(218) 335-7226 Phone
(800) 282-3389 Toll-free
(218) 335-4560 Fax

Mailing Address
190 Sailstar Drive NW
Cass Lake, MN 56633

Physical Address
312 1st Street NW
Cass Lake, MN 56633

Hours of Operation

Monday - Friday
8:00 a.m. - 4:30 p.m.
Other hours as arranged and 24-hour access to the case manager in case of an emergency.

Areas Served

Leech Lake Reservation
Beltrami County
Cass County
Hubbard County
Itasca County


Waiver Program

A Long Term Care Consultation (LTCC) is provided at no charge in the home of elders and people with disabilities. Anyone can request this assessment through the Leech Lake Band rather than going through their county social service office. The results are used to determine eligibility for services provided to help people stay in their own homes and in their own communities. There are 5 different waivers available (listed below).

A case manager helps people get the services they need and provides regular follow-up. Examples of services that may be provided are homemaker, chore services, personal care assistance, some home modifications, home-delivered meals, home health aide, and nurse visits.

Waiver and Community Support Grant Information

Please call for details and full requirements of each waiver.

  • Alternative Care (AC): For those 65 or over who are NOT eligible for Medical Assistance (MA); there is a co-pay based on income, assets, and services needed.
  • Community Alternative Care (CAC): For those under 65, certified as disabled, eligible for MA, and need care at the level provided in a hospital.
  • Community Alternatives for Disabled Individuals (CADI): For those under age 65, with a certified disability, who are eligible for MA and need services to remain at home.
  • Community Support Grant (CSG): For those who are eligible for MA are able to direct and purchase their own care and supports or have a family member, have functional limitations that require community support, live in a natural home setting, are eligible to receive home care services from a MA home care agency, and not participating in the Alternative Care Program.
  • Developmentally Disabled Waiver (DDW): For those who are eligible for MA based on disability diagnosis, have a developmental disability, meett the ICF/DD level of care criteria, require daily interventions, assessed to need a residential habilitation service, have made an informed choice of waiver services instead of ICF/DD services, and have an assessed need for supports and services over and above those available through the MA state plan.
  • Elderly Waiver (EW): For those who are at least 65, eligible for MA, and need services to be able to stay at home.
  • Traumatic Brain Injury (TBI): For those under 65 who have a documented diagnosis of traumatic or acquired brain injury, are certified disabled, are eligible for MA, and need care at the level provided in a nursing home or hospital.

Eligibility Requirements

  • Must be Leech Lake Bend Member or living in a household with a Leech Lake Band Member
  • At least 65 years old
  • Live on the Leech Lake Reservation or Beltrami, Cass, Hubbard, or Itasca County
  • Meet income and resource guidelines
  • See individual waiver for specific requirements

Documents Requested

See individual waiver for specific requirements.

Intake Procedure

Call to make an appointment or for more information

What services may be provided?

  • Chores - Cleaning and maintenance tasks
  • Home delivered meals - Delivery of nutritional meals
  • Home health - Services provided by a nurse or a home health aid (CHR)
  • Homemaker - Provides general household services
  • Personal care - Help with eating, dressing, etc. (at home or at work)
  • Assistive technology - Consultation about available personal equipment
  • Modifications - Home adaptions such as grab-bars, ramps, and door widening
  • Communication transition - Assistance for individuals leaving institutional care
  • Care Coordination - Assistance in planning and arranging needed services

How do I get started?

Call the Leech Lake Health Division to make an appointment for someone to come to your home to conduct an assessment of your needs. A family member or friend can be with you during the assessment, if you wish.

When the assessment is completed, we will help you choose the services that will work best based on your specific circumstances. We will give you information about the agencies that provide those servcies in your community.

You will make the final decidions on the providers and services you will receive. The assessment is provided at no cost. Depending on your income and resources, you may have to pay for some of your services.

Your care coordinator will arrange for the services, will check on the delivery of services to make sure they meet your needs, and will act as your advocate. At least once a year, another assessment will be done. At that time, your plan of care will be reviewed to see if any changes need to be made.