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Consumer Support Grant (CSG)

Page posted: 10/01/03

Page reviewed:

Page updated: 01/21/10

Legal Authority

Minnesota Statute 256.476

Definition

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

Eligibility

Persons are eligible for CSG if they:

  • Are eligible for Medical Assistance
  • 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
  • Have a functional limitation that requires ongoing supports to live in the community
  • Live in a natural home setting
  • Are eligible to receive home care services from a MA home care agency
  • Not participating in the Alternative Care Program, home and community-based waivers, MN managed care programs, PCA, HHA and/or PDN services
  • Covered Services

    CSG can be used to purchase a variety of goods, supports and services beyond the usual home care categories. The services or items selected must relate to the functional limitation of the person and provide the supports needed for the person to live in their own home. 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
  • Secondary Information

    In general, the amount of the grant is determined for each person using a combination of the following factors:

  • Home care assessment rating of the person
  • Statewide utilization or authorization averages for PDN and PCA services (CSG Budget Caps)
  • Date of the CSG application
  • Availability of grant funding
  • 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 all equally eligible for employment and payment.

    CSG recipients are advised to maintain prudent employment practices such as obtaining background checks and verification of references for prospective employees.

    CSG Policy and Procedures

    The policies and procedures of the CSG are state and local agency determined and allow for greater freedom of choice in:

  • Service selection
  • Payment rates
  • Service delivery specifications
  • Employment of service providers
  • Parents, family members, trusted neighbors or friends could be paid for the provision of services as well as licensed providers and employees of private home care agencies.

    CSG administration

    Disability Services Division (DSD), local agencies and CSG recipients collaborate in the administration of the CSG. DSD provides policy guidance and technical assistance to local agencies. Local agencies develop local policy and procedures and submit their plan to DSD for approval.

    Budget and service agreement

    CSG recipients and local agencies collaborate in the development of the Budget and Service Agreement, which identifies services and outlines how the grant will be used to meet consumer support needs. CSG recipients arrange, manage and pay for the identified goods, services and supports. Local agencies monitor grant expenditures and insure that spending is within the mandates of the program.

    Process for PDN Participants

    County

    1.   Enter a CSG agreement, and as with any PDN agreement, check the PDN on the AHC 1 screen and submit to DHS. Some fields will be missing but the agreement will suspend and be routed to DHS Health Care Operations (HCO). HCO will coordinate the information during the next phase of review by CDMI, Care Delivery Management Inc., a contractor for DHS that reviews all private duty nursing determinations. 

    2.  Fax the proposed CSG PDN Plan to the attention of CSG Policy at (651) 431-7411. If the plan includes all the required elements, CSG policy staff will send program approval to HCO contingent on CDMI approval of the home care determination.

     

    Agency

    1.  Fax the assessment and all ancillary information to the attention of Health Care Operations, MN DHS at (651) 431-7432, and to the county case manager so they may track the process. HCO will match the information to the service agreement and forward all to CDMI for review and approval. 

     

    2. Within 30 days, when HCO receives CDMI review results and CSG policy level approval of the CSG PDN plan, they will add the appropriate home care rating to the service agreement and release it to the county. At that point, the person could begin CSG services.

    Required Elements of the PDN Plan

    People who require PDN 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 PDN services.

    For people approved for PDN who choose to enroll in CSG, counties will submit service agreements and the following information to DHS Disability Services Division for approval:

  • Back up plan to account for absence of usual support providers
  • Consumer or responsible party has signed PDN consumer 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 consumer and status of support network
  • Regular respite plan for support providers
  • Report of MD belief that informal providers have been trained to care for consumer
  • Specific description of all formal and informal support providers
  • Specific description of necessary medical supports
  • Please fax documents to the Disability Services Division: 651-431-7411.

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    Updated: 7/19/12 2:55 PM | Accessibility | Terms/Policy | Contact DHS | Top of Page | Updated: 7/19/12 2:55 PM