Page posted: 12/10/24

Legal authority

Federally approved BI, CAC, CADI, DD and EW waiver plans, federally approved AC 1115 demonstration

Unbundling project

This page includes CDCS unbundled service category policy. When a person transitions to the unbundled CDCS service categories, they will use the policy on this page.

For information about who must use this new policy, refer to the Dec. 10, 2024, eList announcement.

Overview

The person can use their individual CDCS funds to purchase any of the waiver/Alternative Care (AC) goods and services currently available under their program.

In this manual, DHS refers to goods and services available under the waiver and AC programs as “traditional.”

For a complete list of goods and services available under each program, refer to:

Applicability

The information on this page applies to all traditional waiver/AC services, including extended personal care assistance (PCA), extended Community First Services and Supports (CFSS) and extended home care services (refer to CFSS Manual – Extended PCA/CFSS and CBSM – Extended home care services).

This page does not apply to state plan PCA/CFSS and home care services. For information about purchasing those services, refer to CDCS Manual – Purchasing PCA/CFSS and home care services under CDCS.

Requirements

The person must include the costs of all traditional waiver/AC goods and services they select in their individual CDCS budget.

All traditional waiver/AC goods and services the person selects must meet all of the program-specific provisions, such as:

PCA/CFSS and home care services through AC

People using AC can purchase PCA/CFSS and/or home care services if:

1. The person is eligible for the service they will purchase, as described on:

2. The service addresses chronic and long-term care needs only.

If a person using AC purchases PCA/CFSS or home care, the lead agency follows the policy for extended PCA/CFSS or home care services (refer to CFSS Manual – Extended PCA/CFSS and CBSM – Extended home care services).

Service category

The person should list traditional AC/waiver goods and services on their CDCS community support plan (CSP) in the individual-directed goods and services category, described on CDCS Manual – Individual-directed goods and services.

Authorization and billing

If the person purchases a traditional waiver/AC good or service, the:

PCA/CFSS and home care services under the AC program

If the person purchases PCA/CFSS or home care services, the lead agency follows the authorization process for extended PCA/CFSS or home care (refer to CFSS Manual – Extended PCA/CFSS and CBSM – Extended home care services).

Additional resources

CDCS Manual – Allowable and unallowable goods and services
CDCS Manual – Individual-directed goods and services
CDCS Manual – Purchasing PCA/CFSS and home care services
CFSS Manual – Extended PCA/CFSS
CBSM – Extended home care services