Support built aroundthe life you want to live.
Midway Homes Adult Care provides person-centered 245D and waiver services for adults across the Twin Cities and east-central Minnesota — helping people build skills, stay safe, and move toward greater independence at home and in the community.
Serving Ramsey, Hennepin, Dakota, Scott, Washington, Chisago & Pine counties
ICS Housing
24-hour staffed homes
In-Home Support
Skills & daily living
Welcome to Midway Homes Adult Care
We support adults who qualify for Minnesota 245D and HCBS waiver services — people working toward more independence at home and in their community. Whether you're an individual looking for support, a family member weighing options, or a case manager placing a client, we'll tell you plainly what we offer and whether we're the right fit.
Companionship & support
Independent living skills
Community & daily activities
Planning & goal setting
Homemaker Services
Cooking, cleaning, laundry, errands
In-Home Support
Daily living skills & hands-on help
Night Supervision
Overnight safety & support
Community Living Support
CLS & adult companion services
Respite Care
Temporary relief for families
ICS Housing
24-hour staffed supportive homes
All services funded through Minnesota Medicaid waivers — CADI, DD, BI, CAC, and Elderly Waiver.
Our Care Services
Comprehensive, personalized care solutions designed to support your independence and well-being.
Home and Community-Based Services
HCBS (Home and Community-Based Services) are Medicaid-funded programs that let adults receive support in their own home or community instead of a facility. Minnesota offers several HCBS waiver programs — including CADI, DD, BI, and CAC — each designed for different needs. As a 245D licensed provider, Midway Homes delivers services under these waivers.
Basic Support Services
Day-to-day assistance that helps adults live safely and independently at home. Basic Support includes homemaker services (cooking, cleaning, laundry, errands), night supervision, 24-hour emergency assistance, adult companion services, individual community living support (CLS), individualized home supports, and respite care.
In-Home Support Services
Individualized Home Supports (IHS) delivered in your own home. IHS with training teaches daily living skills — meal prep, budgeting, hygiene, household routines — so you build independence over time. IHS without training provides direct hands-on help with those same tasks. Family training helps family members learn techniques to support their loved one.
Integrated Community Supports (ICS)
ICS is 24-hour staffed supportive housing in a provider-managed home for adults 18 and older on a BI, CAC, CADI, or DD waiver. Residents have their own space with on-site staff who help with community participation, health and safety, household management, and adaptive skills — the goal is building independence while living in a supportive setting.
Personal Care (PCA / CFSS)
Personal care support in your own home. Minnesota is replacing Personal Care Assistance (PCA) with Community First Services and Supports (CFSS). Midway Homes helps with activities of daily living such as bathing, dressing, grooming, toileting, mobility, and eating, so adults can stay in their own homes and communities.
Why families choose us
Why Choose Midway Homes Adult Care?
Quality care begins with people — the clients we serve, the families who trust us, and the caregivers who show up every day. We do more than provide services: we create an environment where people feel safe, respected, and able to grow toward greater independence.
Person-Centered Support
Care is never one-size-fits-all. We take time to understand each person's routine, culture, preferences, strengths, needs, challenges, and long-term goals.
Connected to Resources
We help clients access adaptive tools, treatment, employment, housing support, community programs, and steady case-manager communication.
Trained & Supported Caregivers
Our caregivers are trained in person-centered care, positive supports, client rights, safety, supervision, individual support plans, community participation, and de-escalation.
Positive Supports Approach
We build on strengths rather than restrictions — using structure, encouragement, and respectful communication to help people succeed.
Measurable Outcomes
We track growth in independent living skills, appointment follow-through, safer decision-making, and transitions to independent housing when appropriate.
We Don't Give Up on People
Progress takes time. We respond with patience, structure, compassion, and encouragement — not ultimatums.
Payment & funding
Insurance & Waiver Funding Accepted
Most of our services are funded through Minnesota Medical Assistance waiver programs. We'll help you figure out what applies to your situation and coordinate with your county or case manager.
Testimonials
Real Stories. Real Support. Real Progress.
At Midway Homes Adult Care, trust is built through compassion, consistency, and results.
They really came through for me and made a big difference in my day-to-day routine. They've always been helpful, and I know the next person in need is going to be in good hands.
Client
I've been loving the support — they always look out for me. My apartment changed my whole situation, and the staff never fail to make sure I'm okay.
Client
I have my own space, staff check in on me daily, and I get help with my medical appointments and everyday errands. I'd recommend them to anyone who needs it.
Client
Service area
Serving Minnesota Communities
Midway Homes Adult Care is a growing Minnesota 245D and HCBS provider supporting individuals and families through 245D services, HCBS waiver programs, integrated community supports, in-home support, and community living support.
Counties
- Ramsey County
- Hennepin County
- Dakota County
- Scott County
- Washington County
- Chisago County
- Pine County
Cities
- St. Paul
- Minneapolis
- Forest Lake
- North Branch
- Pine City
- …and surrounding Minnesota communities
Free, no obligation
Schedule a Free Assessment
Tell us a little about your situation and we'll follow up to answer questions, explain options, and schedule a time that works for you.
What happens next
- 1. We call, text, or email you back — your choice.
- 2. We answer questions about services and eligibility.
- 3. We schedule your free assessment.
Call us
612-416-8555Email us
info@midwayhomesadultcare.comOffice hours
Monday – Friday: 9:00 AM – 5:00 PM
Saturday & Sunday: Closed
Licensed Minnesota 245D provider — serving adults across Minnesota
Supportive Housing in St Paul
Our ICS homes are regular houses in quiet neighborhoods — not facilities. Residents have private space with 24-hour staff on-site to help build skills and stay safe.
24-hour staffed supportive homes
Private rooms in residential neighborhoods
Community participation and social skills
Health, safety, and wellness support
Contact Midway Homes Adult Care
Have questions about services, referrals, availability, or whether Midway Homes Adult Care is the right fit? Whether you are an individual seeking support, a family member, case manager, social worker, or community partner, our team is ready to listen and guide you through the next steps.
St Paul, MN 55114
Contact us for
- Service questions
- Referrals
- Availability and openings
- Waiver and insurance questions
- Family concerns
- Employment opportunities
- Scheduling a free assessment
Emergency & After-Hours Information
For medical, safety, or life-threatening emergencies, call 911 immediately.
For non-emergency, service-related concerns, contact Midway Homes Adult Care during regular office hours or follow your care team's communication plan. Messages sent through this website are not monitored after hours.
- Office hours
- Monday – Friday: 9:00 AM – 5:00 PM
- Phone
- 612-416-8555