245D Services

Community Health Outreach (CHO) is a licensed 245D provider of Adult Companion, Homemaker, Night Supervision, Personal Support, Respite, ILS Training, In-Home Family Support, and Care giver living expense. Trained Direct Support Staff members are available to help you with your needs when you want. Person Center planning is emphasized in our 245D programs. Staff are supervised and trained by our 245D coordinator.

Adult Companion

Adult Companion Services is non-medical care, supervision and socialization provided to individuals over the age of 18. Adult Companion Services help individuals gain more independence through skill building exercises. Individuals under this program work to reduce isolation, learn to participate in the community, and work on coping skills to manage anxiety.

Homemaker Services

Homemaker Services range from light household cleaning and laundry to assistance with home management and/or activities of daily living. Home Management includes meal prep, shopping for food, clothes and supplies, simple household repairs and arranging for transportation. Activities of Daily Living (ADLs) include bathing, toileting, grooming, eating, dressing and assistance walking. Homemaker Services are available under various payment options including Medical Assistance, Home and Community Based Services (waiver programs), and private pay.

Personal Support

Personal Supports is non-medical care, assistance, and supervision provided in the individual’s home or community. This one-on-one service is intended to increase one’s independence and involvement with community activities. This service largely focuses on providing opportunities that fully enable the individual to interact with people with and without disabilities as much as possible.

Night Supervision Services

Night Supervision Services is overnight assistance and monitoring provided by an awake staff in the individual’s own home. Examples of Night Supervision tasks include reinforcing independent living skills, monitoring for safety, or assisting with instrumental activities of daily living (IADLs).


Respite is a short-term care service intended to provide a break, or relief, to an individual’s primary caregiver(s). Respite may be provided in the individual’s, or the Respite provider’s, home. This service is available under various payment options including Medical Assistance Home and Community Based Services (waiver programs), and private pay.

Caregiver Living Expenses

Caregiver Living Expenses is a reimbursement of certain expenses (Rent and Food) incurred by a caregiver who living in the same household as an individual receiving waivered services, and who is also providing an approved service.

ILS Training

ILS Training services develop, maintain, and improve the community living skills of an individual. ILS training is direct training from a Direct Support staff to address the identified skill development needs of a person in the areas of:
In this program, we seek to Increase the individual’s independence by teaching skills so the person can perform tasks and activities with decreased dependence on caregivers.

In-home Family Support

In-home family supports include assistance to develop, maintain or improve skills related to activities of daily living, such as:
Services are provided to an individual and his/her family (including extended family members) in the family’s home and/or in the community to enable the person to remain at home. This includes training of the person and family members to increase their capabilities to care for and maintain the individual in the home.