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About this Program

Respite is a short-term care service provided due to the absence or need for relief of the family member(s) or primary caregiver normally providing the care. The Respite service option is available to people on a waiver that provides licensed staffing support.


People may choose to utilize other waivered services in addition to Respite such as licensed Personal Support.  MRCI is a 245D licensed provider of Personal Support/Respite and will function as the employer of record for the workers an individual wishes to hire: providing services such as administrative, payroll and training.

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You are the Leader

In 245D programs, the participant guides their services, which allows you to select, hire, train and manage your own staff.  

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Hire Family and Friends

You can hire the people you know, and who know you to provide your services.

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Rest Easy

You can rest easy knowing your loved one is cared for by staff that you trust. 

How to sign up for Respite

# 1

Contact your Lead Agency or County

Determine program eligibility by Finalizing Medical Assistance (MA) Application, and completing necessary assessments.

# 2

Select MRCI CDS as your Licensed Service Provider

Inform your Case Manager that you've chosen MRCI CDS as your Licensed Service Provider for Respite.

# 3

Contact us to schedule your personalized intake meeting

We'll meet with you one-on-one, in the format of your choosing to complete the enrollment process. 

# 4

Coordinate with MRCI CDS to specify the care you need

Complete the CSSP Addendum, IAPP, and other documents detailing your care delivery with expert assistance from MRCI CDS.

# 5

Starting your services

Hire your workers, track annual training requirements, and monitor available hours with on-going MRCI CDS assistance.

Employment Resources

Explanation of Hourly Respite

Hourly Respite Timesheet

Individualized Home Supports Hourly Timesheet

Timesheet - Travel Time

Homemaker Timesheet

Night Supervision Timesheet

Individualized Home Supports & Respite Employee Packet

Homemaker Employee Packet

Night Supervision Employee Packet

Employee Disclosures & Supplements

Direct Deposit Form

Federal Labor Law Poster

Minnesota Labor Law Poster

Payroll Calendar

W4 Form - Federal

W4 Form - Minnesota

FMLA Poster

Youth Labor Laws

Youth Labor Laws

Additional Resources

ADP Self-Service Login

Incident-Accident Report

Consent to Release Employment Information

Direct Deposit Instructions

Employee Performance Review

Employee Exiting Form


Job Posting Agreement


Covid-19 Policy

Training Documents

Emergency use of Manual Restraints - Allowed

Emergency use of Manual Restraints - Not Allowed

Maltreatment of Minors

Reporting: Reviewing Maltreatment of VA

Service Suspension and Termination

Data Privacy

Drug and Alcohol

Grievance Policy

Incident Report

Safe Transportation

Universal Precautions

2022 Policy Updates

Prefer to complete documents online?

Many of these forms are conveniently available to complete online using SignNow. See the available forms. 

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