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Consumer Support Grant (CSG)

Page posted: 10/01/03

Page reviewed: 5/28/15

Page updated: 9/17/18

Legal authority

Minn. Stat. §256.476


The Consumer Support Grant (CSG) program is a state-funded alternative to the Medicaid home care services of:


People eligible for CSG:

  • • Are able to direct and purchase their own care and supports or have a family member, legal representative or other authorized representative available to purchase, arrange and direct care on their behalf
  • • Are eligible for Medical Assistance
  • • Are eligible to receive home care services from an MA-certified home care agency
  • • Are not participating in the Alternative Care Program, home and community-based waivers or Minnesota managed care programs with the exception of persons enrolled in Special Needs Basic Care, PCA, home health aide and/or home care nursing services
  • • Have a functional limitation that requires ongoing supports to live in the community
  • • Live in a natural home setting
  • Covered services

    Participants may use CSG funds purchase a variety of goods, supports and services beyond the usual home care categories. The services or items selected must:

  • • Provide the supports needed for the person to live in their own home
  • • Relate to the functional limitation of the person.
  • Examples of approved goods, services and supports include but are not limited to:

  • • Chore service
  • • Companion services
  • • Equipment
  • • Family counseling
  • • Home adaptations
  • • Home delivered meals
  • • Personal care assistant services
  • • Respite care
  • • Transportation
  • Grant determination

    The amount of the grant is determined for each person using a combination of the following:

  • • Availability of grant funding
  • • Date of the CSG application
  • • Home care assessment rating of the person
  • • Statewide utilization or authorization averages for HCN and PCA services (CSG Budget Caps (PDF))
  • Participant responsibilities

    CSG participants should obtain background checks and verify references for prospective employees.

    CSG participants who choose to hire employees must use a financial management services (FMS) provider to support participants to fulfill their responsibilities as employers.

    DHS is in the process of changing fiscal services for people who use CSG. For more information, see CBSM – Change of fiscal services for people who participate in CDCS and CSG.

    Provider standards and qualifications

    Because CSG is state funded, CSG providers are exempt from certain state licensure requirements and federal regulations regarding provider qualifications.

    Spouses, parents of a minor child, friends, relatives, legal guardians or workers employed by a home care agency are eligible for employment in the CSG program.

    Employees are responsible to:

    1. Enroll as providers with Minnesota Health Care Programs (MHCP) prior to providing services.
    2. Complete and submit the following to MHCP Provider Enrollment:

    Grant administration

    Because DHS and local lead agencies determine policies and procedures, they allow for greater freedom of choice in:

  • • Employment of service providers
  • • Payment rates
  • • Service delivery specifications
  • • Service selection
  • DHS, lead agencies and CSG participants collaborate in the administration.

    1. DHS provides policy guidance and technical assistance to local agencies.
    2. Lead agencies develop their policy and procedures and submit their plan to DSD for approval.

    Budget and service agreement

    CSG participants and local agencies collaborate in the development of the CSG Budget and Service Agreement. This:

  • • Identifies services
  • • Outlines how to use the grant to meet participant support needs.
  • CSG participants arrange, manage and pay for the identified goods, services and supports. Local agencies monitor grant expenditures and ensure spending is within the mandates of the program.

    Home care nursing plan

    People who require HCN to maintain safe, independent living have more complex medical conditions than those who do not require such support. The following criteria have been developed to create a specific methodology to be followed in the CSG when enrolling new people assessed for HCN services.

  • • Backup plan to account for absence of usual support providers
  • • Participant or responsible party has signed HCN participant agreement, documenting their understanding of their ability to return to their program of origin, and assumption of increased risks
  • • Evidence of role of qualified professional
  • • Monthly county site visits to monitor the safe, independent living of participant and status of support network
  • • Regular respite plan for support providers
  • • Report of MD belief that informal providers have been trained to care for participant
  • • Specific description of all formal and informal support providers
  • • Specific description of necessary medical supports
  • Procedures

    Lead agency

    1. Enter a service agreement for CSG.
    2. Check HCN on the AHC 1 screen and submit to DHS.

    Note: Some fields will be missing. The agreement will suspend and route for coordination of information during the next phase of review. 

    3. Fax the proposed CSG home care nursing plan to the attention of CSG Policy at 651-431-7411. If the plan includes all the required elements, the approval will move through. Incomplete information will be returned. 


    1. Fax the assessment and the home care nursing plan to the:

  • • Attention of MN DHS at 651-431-7432
  • • County case manager so they may track the process.
  • 2. DHS will match the information to the service agreement and forward all for final review and approval.  
    3. Within 30 days, DHS will add the appropriate home care rating to the service agreement and release it to the county. At that point, the person could begin to receive CSG services.

    Additional resources

    CBSM – Process and procedure: Enhanced rate or budget for PCA, CDCS and CSG
    PCA Manual – Provider agency/FMS requirements for enhanced rate and budget

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