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Consumer Directed Community Support (CDCS) Manual

Consumer Directed Community Support (CDCS) Manual


Guidelines for special diets

This page does not include policy for unbundled service categories. For the new version of this page, refer to CDCS Manual – Guidelines for special diets (unbundled).

Page posted: 5/22/19

Page reviewed:

Page updated:

Legal authority

Federally approved BI, CAC, CADI, DD and EW waiver plans, Alternative Care (AC) program (Minn. Stat. §256B.0913)

Unbundling project

Effective Feb. 1, 2025, DHS will start the rolling implementation of the CDCS unbundling project. The current CDCS policy and CDCS unbundling project policy will be in effect at the same time. For more information, refer to the Dec. 10, 2024, eList announcement.

This page does not include policy for unbundled service categories.

Overview

CDCS funds can pay for additional or specialized foods a person needs for a prescribed diet. Because waiver funds do not pay for food items themselves, coverage is limited to the extra cost of additional or specialized foods.

For example, if a person is prescribed a lactose-free diet, they can use waiver funds to pay the additional costs needed for the lactose-free food product (e.g., cost difference between a regular gallon of milk and a lactose-free gallon of milk).

Requirements

Special diets under CDCS must meet all of the following criteria:

  • · Prescribed by a licensed health care provider (i.e., physician, physician’s assistant or advanced practice registered nurse) who is enrolled as a Minnesota Health Care Programs (MHCP) provider.
  • · Required to address nutritional needs directly related to a disability or health condition, and for which no MHCP or cash program coverage is available.
  • · Part of the person’s Community Support Plan with identifiable outcomes.
  • · Approved by the lead agency to meet the person’s health and safety needs.
  • Note

    When a person receives a Minnesota Supplemental Aid (MSA) special needs allowance for a special diet, MSA pays for the special diet before the waiver covers the costs.

    Special diets

    If a person meets the requirements, CDCS funds can be used to purchase additional or specialized foods for the following diets:

  • · Anti-dumping diet.
  • · Controlled protein diet (40-60 grams and requires special products).
  • · Controlled protein diet (less than 40 grams and requires special products).
  • · Gluten-free diet.
  • · High protein diet (minimum of 80 grams/day).
  • · High residue diet.
  • · Hypoglycemic diet.
  • · Ketogenic diet.
  • · Lactose-free diet.
  • · Low cholesterol diet.
  • · Pregnancy and lactation diet.
  • Responsibilities

    The person is responsible to determine the extra costs of the additional or specialized foods and incorporate these costs into their Community Support Plan for lead agency approval. Once approved, the financial management services (FMS) provider works with the person to cover these costs.

    Additional resources

    CDCS Manual – Environmental modifications and provisions

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