Minnesota Minnesota

Consumer Directed Community Support (CDCS) Manual

Consumer Directed Community Support (CDCS) Manual


Updates to the CDCS Policy Manual

DHS will document new pages and page updates here.

Date

Section

Page

Action

2/18/26

Budgets

Resource: Communicating CDCS budget information for people using waivers and AC

Added links to CBSM – Notice of action

12/2/25

Budgets

Cost-of-living adjustments (COLA) for CDCS budgets – BI, CAC, CADI and DD

Added the COLA for Jan. 1, 2026

12/1/25

Budgets

CDCS partial-year budgets for disability waivers

Comprehensively reviewed and made the following changes:

  • · Updated the title from “prorating budgets for disability waivers”
  • · Clarified information throughout the page
  • 12/1/25

    Budgets

    CDCS partial-year budgets for Alternative Care (AC) and Elderly Waiver (EW)

    Comprehensively reviewed and made the following changes:

  • · Updated the title from “prorating budgets for AC and EW”
  • · Clarified information throughout the page
  • 10/9/25

    Unbundled service categories

    CDCS unbundled service category: Personal assistance

    Clarified information in the definitions and non-covered services sections

    10/6/25

    Unbundled service categories

    Paying a spouse or parent of a minor for personal assistance (unbundled)

    Clarified the information in the other criteria section

    9/19/25

    Service categories

    Shared services

    Added a link to CDCS Manual – CDCS unbundled service category: Personal assistance in the covered services section

    6/12/25

    Unbundled service categories

    FMS providers (unbundled)

    Clarified information in the overview about requirements for using the same FMS provider in certain situations

    6/12/25

    Service categories (pre-unbundling)

    FMS providers (pre-unbundling)

    Clarified information in the overview about requirements for using the same FMS provider in certain situations

    6/12/25

    Unbundled service categories

    Purchasing traditional waiver/AC goods and services under CDCS (unbundled)

    Made the following changes:

  • · Added an applicability section
  • · Clarified information about PCA/CFSS and home care services under AC
  • 6/12/25

    Allowable and unallowable goods and services

    Purchasing traditional waiver/AC goods and services under CDCS (pre-unbundling)

    Made the following changes:

  • · Added an applicability section
  • · Clarified information about PCA/CFSS and home care services under AC
  • 6/11/25

    Budgets

    Resource: CDCS budget impacts when purchasing PCA/CFSS, home care and extended waiver services

    Posted new page that is a quick reference guide for lead agencies to understand PCA/CFSS, home care and extended waiver service costs that come out of the person’s CDCS budget

    6/11/25

    Allowable and unallowable goods and services

    Purchasing PCA/CFSS and home care services under CDCS

    Comprehensively reviewed and made the following changes:

  • · Updated the title to include “PCA/CFSS”
  • · Clarified information throughout the page and added links to relevant resources
  • 4/14/25

    Unbundled service categories

    Individual-directed goods and services

    Made the following changes:

  • · Added the federally approved AC 1115 demonstration to the legal authority
  • · Clarified the requirements in the criteria for covered goods and services section
  • 2/27/25

    Unbundled service categories

    Financial management services (FMS) providers (unbundled)

    Added a link to MHCP Provider Manual – FMS in the additional resources section

    2/27/25

    Service categories (pre-unbundling)

    Financial management services (FMS) providers (pre-unbundling)

    Added a link to MHCP Provider Manual – FMS in the additional resources section

    12/31/24

    Unbundled service categories

    Paying a spouse or parent of a minor for personal assistance (unbundled)

    Updated information in the criteria section about payment rates for workers who are the spouse or parent of a minor of a person with a CDCS enhanced budget

    12/31/24

    Service categories (pre-unbundling)

    Paying a spouse or parent of a minor for personal assistance (pre-unbundling)

    Updated information in the criteria section about payment rates for workers who are the spouse or parent of a minor of a person with a CDCS enhanced budget

    12/31/24

    Allowable/unallowable goods and services

    Allowable and unallowable goods and services under CDCS

    Made the following changes:

  • · Added information in the allowable expenditures section about additional goods and services that support community integration and inclusion
  • · Clarified that purchasing internet access is unallowable in some situations
  • 12/31/24

    Allowable/unallowable goods and services

    Purchasing internet access under CDCS

    Added information about the unbundling project in the eligibility and criteria section

    12/30/24

    Budgets

    Cost-of-living adjustments (COLA) for CDCS budgets – BI, CAC, CADI and DD

    Added the COLA for Jan. 1, 2024, and Jan. 1, 2025

    12/30/24

    Service categories (pre-unbundling)

    CDCS service category: Personal assistance (pre-unbundling)

    Added new information about wage rates in the provider qualifications section

    12/23/24

    Process and procedure

    CDCS process and procedure

    Comprehensively reviewed and made the following changes:

  • · Clarified information throughout the page
  • · Added a link to the updated training, CDCS: Is it right for you?
  • · Added a section about plan review and approval that clarifies lead agencies must follow DHS policies and cannot create or implement policies that are in addition to or inconsistent with DHS policies
  • 12/23/24

    Budgets

    Budgets overview

    Comprehensively reviewed and made the following changes:

  • · Clarified information throughout the page
  • · Added a new section about communicating CDCS budget information
  • · Added 2025 legislative budget changes
  • 12/23/24

    Budgets

    Resource: Communicating CDCS budget information for people using waivers and AC

    Posted new page with legal requirements for budget procedures and instructions for each program

    12/10/24

    Unbundled service categories

    All pages under CDCS unbundled service categories

    Posted new pages with unbundled service policy

    For more information, refer to the Dec. 10, 2024, eList announcement.

    12/10/24

    Service categories

    All pages under CDCS service categories (pre-unbundling)

    Added transition information for the unbundling project

    For more information, refer to the Dec. 10, 2024, eList announcement.

    12/10/24

    Allowable/unallowable goods and services

    Allowable and unallowable goods and services under CDCS

    Comprehensively reviewed and made the following changes:

  • · Clarified information throughout the page
  • · Added information about unbundled service categories
  • For more information, refer to the Dec. 10, 2024, eList announcement.

    12/10/24

    Resources

    CDCS resources

    Updated information about trainings

    1/30/24

    Service categories

    Paying a spouse or parent of a minor for personal assistance

    Changed policy to increase the number of hours per week a spouse or parent of a minor can be paid

    For more information, refer to the Jan. 30, 2024, eList announcement.

    1/5/24

    Budgets

    Budgets overview

    Added information about legislative budget changes effective Jan. 1, 2024

    12/29/23

    Budgets

    Prorating budgets for AC and EW

    Made the following changes:

  • · Updated information about temporary service changes
  • · Added a section about temporary waiver exits
  • 12/29/23

    Budgets

    Prorating budgets for disability waivers

    Made the following changes:

  • · Updated information about temporary service changes
  • · Added a section about temporary waiver exits
  • 3/20/23

    Service categories

    Financial management services (FMS)

    Comprehensively reviewed and clarified language

    1/3/23

    Budgets

    Budgets overview

    Added information about the budget increase for AC and EW, effective Jan. 1, 2023

    8/30/22

    Eligibility

    Eligibility for CDCS

    Comprehensive review; updated information about the limitation when a person receives certain other services

    7/12/22

    Budgets

    Cost-of-living adjustments (COLA) for CDCS budgets – BI, CAC, CADI and DD

    Added the COLA for July 1, 2022

    7/7/22

    Budgets

    CDCS enhanced budget process

    Updated information in the background section about eligibility for the enhanced budget

    6/27/22

    Budgets

    Exception to CDCS budget methodology for BI, CAC, CADI and DD waivers

    Comprehensive review; clarified information throughout the page

    6/24/22

    Budgets

    Budgets overview

    Added information about the budget increases for AC, BI, CAC, CADI, DD and EW, effective July 1, 2022

    4/15/22

    Budgets

    CDCS enhanced budget process

    Clarified information in the background section

    4/13/22

    Budgets

    Budgets overview

    Updated information about establishing CDCS budgets for AC and EW

    1/20/22

    Budgets

    Variables used in the CDCS budget methodology for the DD Waiver

    Updated ICD codes for developmental disabilities and related conditions

    1/10/22

    Budgets

    Variables used in the CDCS budget methodology for the DD Waiver

    Comprehensive review with the following changes:

  • · Updated ICD codes for psychosis, cerebral palsy and epilepsy
  • · Clarified content throughout the page
  • 12/21/21

    Budgets

    CDCS enhanced budget process

    Made the following changes:

  • · Reduced eligibility for the enhanced budget from 12 hours per day of PCA to 10 hours per day, effective Jan. 1, 2022
  • · Added instructions to complete DHS-6633B
  • · Updated instructions for reassessments
  • 12/20/21

    Budgets

    Budgets overview

    Added information about the budget increase for AC and EW, effective Jan. 1, 2022

    11/22/21

    Service categories

    Background studies for direct-contact CDCS services

    Fixed broken link in additional resources

    10/4/21

    Budgets

    Cost-of-living adjustments (COLA) for CDCS budgets – BI, CAC, CADI and DD

    Updated with legislative budget changes

    For more information, see the Oct. 4, 2021, eList announcement

    10/4/21

    Budgets

    Budgets overview

    Updated with legislative budget changes

    For more information, see the Oct. 4, 2021, eList announcement

    9/22/21

    Budgets

    Prorating budgets for AC and EW

    Comprehensive review with the following changes:

  • · Clarified information in the overview section
  • · Clarified information about monthly maximums
  • · Added new sections about temporary service changes and waiver closures
  • 9/22/21

    Budgets

    Prorating budgets for disability waivers

    Comprehensive review with the following changes:

  • · Clarified information in the overview section
  • · Clarified information about temporary service changes
  • · Added a new section about changes to county of financial responsibility (CFR)
  • 11/30/20

    Budgets

    Budgets overview

    Comprehensive review with the following changes:

  • · Separated information about legislative budget changes into separate sections for BI/CAC/CADI/DD and EW/AC
  • · Added more specific information about legislative budget changes for EW/AC
  • · Updated language throughout the page to be consistent with other manual pages
  • 7/27/20

    Budgets

    Budgets overview

    Clarification about EW and AC legislative budget changes for case mixes A and L

    6/9/20

    Budgets

    Budgets overview

    For information about this update, see the June 9, 2020, eList announcement.

    5/13/20

    Service categories

    Shared services

    Added policy for EW and AC

    For more information, see the May 13, 2020, eList announcement.

    5/13/20

    Eligibility

    Eligibility for CDCS

    Revised policy for EW and AC to allow people who had previously been placed in the Minnesota Restricted Recipient Program (MRRP) to use the CDCS option once they are no longer in the MRRP

    For more information, see the May 13, 2020, eList announcement.

    5/13/20

    Budgets

    CDCS enhanced budget process

    Increased the enhanced budget from 5% to 7.5%

    For more information, see the May 13, 2020, eList announcement.

    5/13/20

    Service categories

    Financial management services (FMS) providers

    Added the following requirements:

  • · When more than one person who uses CDCS lives in the same household and chooses to receive services from the same worker (either shared services or 1:1 service), all people must use the same FMS provider
  • · When there is a joint employer, all people associated with that joint employer must use the same FMS provider.
  • For more information, see the May 13, 2020, eList announcement.

    4/3/20

    Service categories

    Paying a spouse or parent of a minor for personal assistance

    Clarified information in the financial considerations section

    2/3/20

    Service categories

    Shared services

    New page to provide information about how people can share services in CDCS

    For more information, see the Feb. 3, 2020, eList announcement

    2/3/20

    Eligibility

    Eligibility for CDCS

    Revised policy for BI, CAC, CADI and DD to allow people who had previously been placed in the Minnesota Restricted Recipient Program (MRRP) to use the CDCS option once they are no longer in the MRRP

    For more information, see the Feb. 3, 2020, eList announcement

    2/3/20

    Service categories

    Paying a spouse or parent of a minor for personal assistance

    Revised policy to allow parents to be paid providers for their own child when they are also being paid to provide care to unrelated children in a preadoptive setting

    For more information, see the Feb. 3, 2020, eList announcement

    11/13/19

    Service categories

    Self-direction support activities

    For information about this update, see the Nov. 13, 2019, eList announcement

    11/5/19

    Budgets

    Budgets overview

    Updated legislative budget section to reflect EW/AC changes effective Jan. 1, 2020

    9/25/19

    Budgets

    Budgets overview

    Added link to new page that explains the process for Elderly Waiver (EW) conversion rates; for more information, see CBSM – EW conversion rates

    7/22/19

    Budgets

    Budgets overview

    Updated legislative budget section to reflect changes effective July 1, 2019

    7/16/19

    Service categories

  • · CDCS support planning services
  • · CDCS support planners
  • · CDCS support planner service standards
  • New pages with information about CDCS support planning services, a subsection of self-direction support activities

    7/15/19

    Budgets

    Cost-of-living adjustments (COLA) for CDCS budgets

    Added most recent COLAs

    7/11/19

    Budgets

    CDCS budget methodology exception for BI, CAC, CADI and DD waivers

    Comprehensive review with the following changes:

  • · Added additional requirement sets in the eligibility section
  • · Updated instructions in the lead agency responsibility section
  • · Added a new section about people who currently have a budget exception.
  • 7/5/19

    Budgets

    CDCS enhanced budget process

    Added statement about DHS’ request for federal approval to increase the enhanced budget percentage

    For more information, see the July 5, 2019, eList announcement

    6/14/19

    Budgets

    CDCS enhanced budget process

    Corrected information about home care ratings in the reassessments and future initial assessments section

    5/22/19

    Service categories

    Guidelines for special diets

    Comprehensive review; moved content from CDCS Lead Agency Operations Manual, DHS-4270 (PDF)

    4/12/19

    Budgets

    CDCS enhanced budget process

    Updated background section

    For more information, see the April 12, 2019, eList

    4/11/19

    Service categories

    Personal assistance

    Clarified how to determine hourly rates; no policy change

    4/9/19

    Service categories

    Environmental modifications and provisions

    Comprehensive review; moved content from CDCS Lead Agency Operations Manual, DHS-4270 (PDF)

    2/7/19

    Budgets

    CDCS enhanced budget process

    New page

    For more information, see the Feb. 7, 2019, eList announcement

    10/15/18

    Service categories

  • · Financial management services (FMS)
  • · FMS providers
  • · FMS documentation and reporting
  • · FMS reports to lead agencies and people/families
  • New pages with information about financial management services (FMS)

    For information about the transition from FSEs to FMS providers, see CBSM – Change of fiscal services for people who participate in CDCS and CSG.

    10/15/18

    Service categories

    Self-direction support activities

    Comprehensive review; moved content from CBSM to CDCS Policy Manual

    9/6/18

    Budgets

    Budgets overview

    Updated legislative budget section to reflect 2018 fiscal year changes:

  • · Disability waivers (BI, CAC, CADI, DD) currently do not have a legislative adjustment to CDCS budgets
  • · Elderly Waiver (EW) and Alternative Care (AC) have a 0.03 percent increase to monthly budget caps (effective July 1, 2018)
  • · Instructions to use the updated Community Support Plan Addendum for EW/AC, DHS-6633A (PDF).
  • 7/18/18

    Process and procedure

    CDCS process and procedure

  • · Added information about learning module
  • · Minor content revisions to “initial responsibilities of the person” section (no policy change)
  • 7/18/18

    Resources

    CDCS resources

    New page

    For more information, see the July 18, 2018, eList announcement.

    3/9/18

    Budgets

    CDCS budget methodology exception for BI, CAC, CADI and DD waivers

    Correction about budget methodology exception process

    For more information, see the March 9, 2018, eList announcement.

    12/26/17

    Budgets

  • · Budgets overview
  • · Prorating budgets for disability waivers
  • · Prorating budgets for EW/AC
  • New section on CDCS budgets with new pages

    12/26/17

    Budgets

    CDCS budget methodology exception for BI, CAC, CADI and DD waivers

    Comprehensive review; change to the process to implement the budget exception

    For more information, see the Dec. 29, 2017, eList announcement.

    12/26/17

    Service categories

    Paying a spouse/parent of a minor for personal assistance

    Includes stepparent under the definition of “parent”

    For more information, see the Dec. 29, 2017, eList announcement

    6/14/17

    Budgets

    Variables used in the CDCS budget methodology for the DD Waiver

    Comprehensive review; no policy change

    6/14/17

    Budgets

    CDCS budget methodology for the DD Waiver

    Comprehensive review; no policy change

    6/14/17

    Budgets

    Variables used in CDCS budget methodology for the BI, CAC and CADI waivers

    Comprehensive review; no policy change

    6/14/17

    Budgets

    CDCS budget methodology for the BI, CAC and CADI waivers

    Comprehensive review; no policy change

    6/14/17

    Budgets

    Cost-of-living adjustments (COLA) for CDCS budgets

    Comprehensive review; no policy change

    6/5/17

    Service categories

    Personal assistance

    Comprehensive review; no policy change

    6/5/17

    Service categories

    Paying a spouse or parent of a minor for personal assistance

    Comprehensive review; policy change – “Conditions for licensed residential settings” section

    For more information, see the June 5, 2017, eList announcement

    6/5/17

    Service categories

    Background studies for direct-contact CDCS services

    Comprehensive review; no policy change

    6/5/17

    Service categories

    CDCS service categories

    Comprehensive review; no policy change

    6/5/17

    Process and procedure

    CDCS process and procedure

    Comprehensive review; no policy change

    6/5/17

    Eligibility

    Eligibility for CDCS

    Comprehensive review; policy change – “Limitations: Receives services in a licensed or registered setting” section

    For more information, see the June 5, 2017, eList announcement

    6/5/17

    Allowable/unallowable goods and services

    Purchasing traditional AC/waiver goods and services under CDCS

    Comprehensive review; no policy change

    6/5/17

    Allowable/unallowable goods and services

    Purchasing Internet access under CDCS

    New policy

    For more information, see the June 5, 2017, eList announcement

    6/5/17

    Allowable/unallowable goods and services

    Purchasing home care services under CDCS

    Comprehensive review; no policy change

    6/5/17

    Allowable/unallowable goods and services

    CDCS service categories for traditional AC/waiver services

    Comprehensive review; no policy change

    6/5/17

    Allowable/unallowable goods and services

    Allowable and unallowable goods and services under CDCS

    Comprehensive review; policy change – Added Internet access as an allowable service

    For more information, see the June 5, 2017, eList announcement

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