CBSM - Consumer directed community supports (CDCS)

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Consumer directed community supports (CDCS)

DHS is currently transferring CDCS information previously found on this and other CBSM pages to the CDCS Policy Manual. For more information, see the June 5, 2017, AASD/DSD eList announcement.


Page posted: 10/1/04	Page reviewed: 5/28/15	Page updated: 9/17/18
Legal authority	Federally approved BI, CAC, CADI, DD and Elderly waiver plans, Alternative Care program (Minn. Stat. §256B.0913), Minn. Stat. §256B.4912, subd. 1(b), Minn. Stat. §245C.02, subd. 11, Minn. Stat. §256B.0915, subd. 8 (c), Minn. Stat. §256B.49, subd. 16 (c), (e)
Definition	For an overview of consumer directed community supports (CDCS), see the home page of the CDCS Policy Manual.
Service criteria	For criteria CDCS services must meet, see CDCS – Allowable and unallowable goods and services.
Eligibility	See CDCS – Eligibility.
CDCS budget	Each person’s annual state-set budget amount is the amount available to the person to purchase eligible goods and services. The individual budget for a person using CDCS must include the costs of all waiver services and MA state plan home care services. For more information, see CDCS – Budgets.
Fiscal support entities	A person is required to have a fiscal support entity (FSE) in order to access CDCS. An FSE is an MA-enrolled provider for CDCS who reimburses service providers for authorized CDCS services, supports and/or items. DHS is in the process of changing fiscal services for people who use CDCS. For more information, see CBSM – Change of fiscal services for people who participate in CDCS and CSG.
Covered services	For information about services and goods covered under CDCS, see: • CDCS – Allowable and unallowable goods and services • CDCS – Service categories.
Non-covered services	For information about services and goods not covered under CDCS, see CDCS – Allowable and unallowable goods and services.
Provider standards and qualifications	Each person may want to consider their needs and requirements when deciding the qualifications they would like the provider/staff to have. For example, a person who has frequent seizures may want to hire somebody that has training in how to react when someone is having a seizure or experience working with people who have seizures. Additional qualifications are to be documented in the Community Support Plan. The provider/staff must meet these in order to provide CDCS. The person and/or their authorized representative must maintain documentation indicating how the qualifications are met. When choosing other formal waiver services, all provisions of the waiver service must be followed including the services description, provider qualifications, rates and quality assurance mechanisms of the service.
Background studies	For information about background study requirements and processes under CDCS, see CDCS – Background studies.
Case management	Under CDCS, case management supports are separated into: • Required case management (for all who receive CDCS) • Support planner services (optional for any who receive CDCS)
Involuntary exit procedure	Counties have the option to follow the involuntary exit policy to exit a person from CDCS.
Additional resources	Consumer Directed Community Supports Policy Manual CDCS Consumer Handbook, DHS 4317 (PDF) DHS – CDCS (information for people who receive services) CBSM – Process and procedure: Enhanced rate or budget for PCA, CDCS and CSG

Page posted: 10/1/04

Page reviewed: 5/28/15

Page updated: 9/17/18

Legal authority

Federally approved BI, CAC, CADI, DD and Elderly waiver plans, Alternative Care program (Minn. Stat. §256B.0913), Minn. Stat. §256B.4912, subd. 1(b), Minn. Stat. §245C.02, subd. 11, Minn. Stat. §256B.0915, subd. 8 (c), Minn. Stat. §256B.49, subd. 16 (c), (e)

Definition

For an overview of consumer directed community supports (CDCS), see the home page of the CDCS Policy Manual.

Service criteria

For criteria CDCS services must meet, see CDCS – Allowable and unallowable goods and services.

Eligibility

See CDCS – Eligibility.

CDCS budget

Each person’s annual state-set budget amount is the amount available to the person to purchase eligible goods and services. The individual budget for a person using CDCS must include the costs of all waiver services and MA state plan home care services.

For more information, see CDCS – Budgets.

Fiscal support entities

A person is required to have a fiscal support entity (FSE) in order to access CDCS. An FSE is an MA-enrolled provider for CDCS who reimburses service providers for authorized CDCS services, supports and/or items.

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

Covered services

For information about services and goods covered under CDCS, see:

• CDCS – Allowable and unallowable goods and services

• CDCS – Service categories.

Non-covered services

For information about services and goods not covered under CDCS, see CDCS – Allowable and unallowable goods and services.

Provider standards and qualifications

Each person may want to consider their needs and requirements when deciding the qualifications they would like the provider/staff to have. For example, a person who has frequent seizures may want to hire somebody that has training in how to react when someone is having a seizure or experience working with people who have seizures.

Additional qualifications are to be documented in the Community Support Plan. The provider/staff must meet these in order to provide CDCS. The person and/or their authorized representative must maintain documentation indicating how the qualifications are met.

When choosing other formal waiver services, all provisions of the waiver service must be followed including the services description, provider qualifications, rates and quality assurance mechanisms of the service.

Background studies

For information about background study requirements and processes under CDCS, see CDCS – Background studies.

Case management

Under CDCS, case management supports are separated into:

• Required case management (for all who receive CDCS)

• Support planner services (optional for any who receive CDCS)

Involuntary exit procedure

Counties have the option to follow the involuntary exit policy to exit a person from CDCS.

Additional resources

Consumer Directed Community Supports Policy Manual
CDCS Consumer Handbook, DHS 4317 (PDF)
DHS – CDCS (information for people who receive services)
CBSM – Process and procedure: Enhanced rate or budget for PCA, CDCS and CSG