Long-Term Care

Long-Term Care (LTC) Services

LTC services include:

  • Skilled nursing facility care you receive when you reside in a nursing facility.
  • Services covered by any home and community-based waiver programs, such as Elderly Waiver (EW) program.

Elderly Waiver (EW) - The EW program funds home and community-based services for people age 65 and older who are eligible for Medical Assistance (MA) and require the level of care provided in a nursing home but choose to live in the community.

Alternative Care (AC) - The AC program is a state-funded cost-sharing program that supports certain home- and community-based services for eligible Minnesotans age 65 and older. This program provides home- and community-based services to prevent and delay transitions to nursing facility level of care. The program prevents the impoverishment of eligible seniors and shares the cost of care with clients by maximizing use of their own resources. It is administered by counties and tribal health agencies.

Asset Assessment - An Asset Assessment is a list of all assets owned by a married couple on a certain date. A county worker uses the information to decide the amount of assets a person's spouse can keep. The amount of assets will not county toward the asset limit for the person applying for Medical Assistance payment of long-term care (LTC) services. LTC services include nursing home care and services through the Elderly Waiver (EW) or Alternative Care (AC) program.


  • Apply in-person. Applications can be provided and submitted Monday through Friday, 8 a.m. to 5 p.m. An interview is not required, but are be offered Monday through Friday, between 9 a.m. and 3:30 p.m.
  • Print an application (PDF) and mail to or drop off our office at 204 Laurel Street, Brainerd, MN 56401.

To contact our Long Term Care Unit for more information please call 218-824-1250 or toll free at 888-772-8212