CBSM - Consumer directed community supports (CDCS)

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 AASD/DSD eList announcement.

Page posted: 10/1/04

Page reviewed: 5/28/15

Page updated: 6/5/17

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

The Aging and Adult Services and/or Disability Services divisions, as appropriate, set individual CDCS budgets. The individual budget for a person using CDCS must include the costs of all waiver services and MA state plan home care services. MA state plan home care services may be authorized on a separate line item on the service agreement.

All services must be provided within this budget amount, with the exception of:

• Assistive technology and home or vehicle modifications over $5000 if approved by the county (see description under environmental modifications and provisions)

• Costs for criminal background studies

• Required county case management services

For more information, see:

• CDCS budget methodology for the BI, CAC and CADI waivers

• CDCS budget methodology for the DD Waiver.

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.

Exception process

During the 2014 legislative session, the Minnesota legislature made changes that affect Consumer Directed Community Supports funding for young adults who meet certain criteria. For more information, see:

• CDCS exception to CDCS Budget Methodology for disability waivers (PDF)

• Exception to CDCS Budget Methodology checklist, DHS-6633 (PDF)

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

CDCS Consumer Handbook, DHS 4317 (PDF)
DHS – CDCS (information for people who receive services)


Page posted: 10/1/04		Page reviewed: 5/28/15	Page updated: 6/5/17
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	The Aging and Adult Services and/or Disability Services divisions, as appropriate, set individual CDCS budgets. The individual budget for a person using CDCS must include the costs of all waiver services and MA state plan home care services. MA state plan home care services may be authorized on a separate line item on the service agreement. All services must be provided within this budget amount, with the exception of: • Assistive technology and home or vehicle modifications over $5000 if approved by the county (see description under environmental modifications and provisions) • Costs for criminal background studies • Required county case management services For more information, see: • CDCS budget methodology for the BI, CAC and CADI waivers • CDCS budget methodology for the DD Waiver. 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. Exception process During the 2014 legislative session, the Minnesota legislature made changes that affect Consumer Directed Community Supports funding for young adults who meet certain criteria. For more information, see: • CDCS exception to CDCS Budget Methodology for disability waivers (PDF) • Exception to CDCS Budget Methodology checklist, DHS-6633 (PDF)
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	CDCS Consumer Handbook, DHS 4317 (PDF) DHS – CDCS (information for people who receive services)