Action

We made the following changes in the published forms and documents section:

We updated this page to better align with CFSS Manual – Resource: CFSS mid-year changes for counties and tribal nations

We clarified that the county/tribal nation adds the consultation services provider to the MnCHOICES support plan and assigns the consultation services provider to the person’s record.

We clarified that the MCO or county/tribal nation adds the consultation services provider to the MnCHOICES support plan and assigns the consultation services provider to the person’s record.

We added more examples of covered and non-covered instrumental activities of daily living (IADLs).

We updated contact information for the following counties:

We added the following information for each form:

We made the following changes:

We made the following changes:

We posted a new page provide detailed information about the process for people accessing PCA/CFSS through their MCO.

We updated the covered and non-covered services sections to clarify covered billable tasks and expand the list of examples.

We updated the temporary approval process section to explain the lead agency can use the temporary approval process with the reassessment date as the start date if the person has a late reassessment.

We clarified that the consultation services provider is responsible to support the person to successfully fulfill their employer responsibilities in the budget model.

We updated contact information for the following counties:

Throughout the page, we updated the enhanced rate/budget to 12.5%, effective Jan. 1, 2026.

We clarified information about the temporary approval process.

We added information about the new form, CFSS Assessment for 45-Day Temporary Increase, DHS-6893M

We updated contact information for the following counties:

We updated contact information for Clay County.

We updated the overview section to explain that lead agencies use the new form, CFSS Assessment for 45-Day Increase, DHS-6893M, to complete 45-day increase assessments.

We updated the lead agency’s responsibilities section to add a link to the new form, CFSS Assessment for 45-Day Increase, DHS-6893M, to complete 45-day increase assessments.

We clarified information in the CDCS section.

We updated contact information for Polk County.

We added information about the new form, Temporary CFSS Individual Service Delivery Plan Approval, DHS-6893L (PDF).

We added a new section about temporary plan approval to avoid a gap in services.

We updated contact information for the following counties:

We updated information throughout the page to identify recent form updates.

We created a new resource page for MCOs and CFSS providers about changes in the middle of the service year.

We created a new resource for consultation services providers to use to contact a county/tribal nation.

We clarified:

We update the limitations section to clarify:

We update the limitations section to clarify:

We updated the other requirements section to clarify:

We aligned content with the new resource, CFSS mid-year changes for counties and tribal nations.

We aligned content with the new resource, CFSS mid-year changes for counties and tribal nations.

We made the following changes:

We created a new resource page for counties, tribal nations and CFSS providers about changes in the middle of the service year.

We added a link to Long-Term Services and Supports Service Rate Limits, DHS-3945 (PDF) for information about the current state-set maximum rates.

We updated the instructions to align with DHS-6893A updates.

We updated the instructions to align with DHS-6893P updates.

We updated information about the transition timeline for people on the Alternative Care (AC) program.

We updated the Phase II section with tasks DHS has completed.

We clarified information about instructions for the transition to CFSS

We added instructions to authorize additional PCA services for people who have not completed the transition to CFSS by their next assessment.

We updated the process for adding a provider section to reflect that the county/tribal nation can now edit a type B CFSS service agreement for up to 183 days after the service agreement start date.

We made the following changes:

We updated information about requesting additional sessions.

In the overview section, we added information about remote annual assessments for CFSS.

For more information, refer to the June 17, 2025, eList announcement.

We made the following changes:

We updated the other requirements section to add a link to DHS – CFSS cost reporting.

We made the following changes:

We made the following changes:

We posted a new page that explains the policy and procedure for people using PCA/CFSS while on a waiver/AC

In the criteria section, we added a note about consultation services set-in in an institution.

In the covered services and non-covered services sections, we clarified when consultation services set-up is covered in an institution.

We added DHS – PCA and CFSS tiered rates and wage floors.

We posted a new page that explains required documentation, responsibilities and timelines

We added CFSS Worker Time and Activity Documentation, DHS-6893C (PDF).

We made the following changes:

We made the following changes:

In the Phase II section, we clarified instructions for what current PCA provider agencies need to do.

We added translated versions of Information for People Who Use CFSS, DHS-6893U-ENG (PDF):

We added instructions for using the new forms launched on Jan. 21, 2025.

We added instructions for using the new forms launched on Jan. 21, 2025.

We updated this page to explain that lead agencies must always review the person’s new CFSS service delivery plan

We added translated versions of CFSS Program Information and Signature Sheet, DHS-6893G (PDF):

We added translated versions of Worker Information for CFSS Budget Model, DHS-6893T (PDF):

We added translated versions of Information for people who use CFSS, DHS-6893U (PDF):

We clarified that clarify that people using the Alternative Care (AC) program cannot using CFSS funds to purchase PERS.

We made the following changes:

In the Phase II section, we made the following updates:

We corrected an error in the transfers section for children older than 60 months.

We made the following updates:

In the overview section, we clarified that lead agencies adjust a person’s service agreement if needed, not their CFSS service delivery plan.

We updated the instructions to align with DHS-6893A updates.

We updated the notes for CFSS Assessment, DHS-6893A to explain the changes in the 1-25 version.

In the published forms and documents section, we added links to:

In the consultation services provider’s responsibilities and limitations sections, we clarified that consultation services providers cannot recommend or offer incentives for selecting specific providers.

In the criteria section, we clarified information about family foster care providers serving as PCA/CFSS workers.

We updated the note for CFSS Individual Service Delivery Plan, DHS-6893P to explain that the 1-25 version uses the correct CFSS rate.

We added additional translations for CFSS Rights and Responsibilities, DHS-6893R-ENG (PDF):

In the overview section, we added instructions for using Lead Agency Addendum to CFSS Individual Service Delivery Plan, 6893W.

In the published forms and documents section, we added two new resources:

In the lead agency’s responsibilities section, we clarified that the lead agency authorizes the enhanced rate/budget for all people eligible for 10 or more hours of state plan PCA/CFSS, regardless of whether they have a qualifying worker.

In the non-covered items section, we added items that are not covered to address recent questions. However, the list is not comprehensive and depends on the person’s needs.

In the training information section, we added Choosing a CFSS model: A tool for a person using CFSS and their consultation services provider.

We updated this page to reflect the changes announces in the Nov. 26, 2024, eList announcement.

We updated this page to reflect the changes announces in the Nov. 26, 2024, eList announcement.

We updated this page to reflect the changes announces in the Nov. 26, 2024, eList announcement.

In the consultation services provider, provider agency and FMS provider responsibilities sections, we clarified that consultation services providers, CFSS provider agencies and financial management services (FMS) providers must give people a copy of CFSS Rights and Responsibilities, DHS-6893R or an alternative when needed.

In the Phase II section, we updated the list of items we completed and still need to complete.

In the covered services section, we clarified information about instrumental activities of daily living (IADLs) for people younger than age 18.

In the published forms and documents section, we updated the CFSS Individual Service Delivery Plan, DHS-6893P entry to add notes about versions.

In the overview and section 9: signatures, we clarified that when a lead agency conducts an assessment using CFSS Assessment, DHS-6893A, they must also complete CFSS Program Information and Signature Sheet, DHS-6893G (PDF).

In the published forms and documents section, we added Consultation Services Provider CFSS Service Delivery Plan Cover Sheet, DHS-6893N.

In the published forms and documents section, we updated the CFSS Individual Service Delivery Plan, DHS-6893P entry to remove the note about the worker training and development budget. The budget on the form is now correct. Make sure to use the 11-24 version.

In the overview and eligibility sections, we clarified that minors cannot use CFSS funds to purchase PERS.

In the definition section, we clarified information.

In the covered services section, we clarified that that CFSS does not cover the cost of groceries or meal delivery services.

In the comparison of PCA and CFSS section, we added content to explain that in PCA, provider agencies must bill for services provided by a spouse or parent of a minor with the billing modifier U2.

In the definitions section, we added a definition for “directing your own care.”

We moved the process for PCA lower on the page.

In the processes for CFSS agency model and CFSS budget model, we clarified that after the person chooses a consultation services provider, they notify the lead agency of their choice.

In the consultation services provider’s responsibilities section, we added a link to CFSS Individual Service Delivery Plan, DHS-6893P

In the published forms and documents section, we added a link to Instructions for CFSS Assessment, DHS-6893A.

We posted this new resource page to provide instructions for CFSS Assessment, DHS-6893A. This page replaces PCA Assessment and Service Plan Instructions and Guidelines, DHS-3244A.

Throughout the page, we removed references to PCA because 45-day temporary starts are no longer available for PCA.

In the title and definition section, we clarified that a 45-day temporary start is also known as an emergency start.

In the lead agency’s responsibilities section, we clarified the responsibilities.

Throughout the page, we updated content to clarify that all assessments are now for CFSS.

In the lead agency’s responsibilities section, we clarified the responsibilities.

Throughout the page, we updated content to clarify that all assessments are now for CFSS.

In the comparison of PCA and CFSS section, we updated language to align with MnCHOICES policy.

In the lead agency’s responsibilities section, we clarified the responsibilities.

In the non-covered services section, we added that consultation services are not covered if they are provided by a consultation services provider that is also the person’s contracted case management provider.

In the requesting additional sessions section, we added that the consultation services provider may request additional sessions if the person has one session remaining.

In the lead agency’s responsibilities section, we clarified that the lead agency updates the service agreement with additional sessions when the consultation services provider submits a request.

We added an applicability section to clarify that people using a waiver or Alternative Care (AC) can use either their CFSS funds or their waiver/AC funds to pay for PERS

In the published forms and documents section, we updated the CFSS Individual Service Delivery Plan, DHS-6893P entry to note that the worker training and development budget is wrong.

In the published forms and documents section, we updated the CFSS Assessment, DHS-6893A entry to note there is a new, updated version available. The previous bug is resolved.

In the published forms and documents section, we added a note to say that there is a new version of CFSS Individual Service Delivery Plan, DHS-6893P. The previous bug is resolved.

In the resources section, we added a link to DSD MMIS Reference Guide – MMIS transition from PCA and CSG to CFSS.

In the MMIS updates section, we added a link to DSD MMIS Reference Guide – MMIS transition from PCA and CSG to CFSS.

In the published forms and documents section, we added a note that there is an issue with CFSS Assessment, DHS-6893A when entering two or more diagnosis and/or two or more medications. DHS is working to fix the issue. Until then, the county/tribal nation can use the health description box to record additional diagnoses and/or medications.

We made the following changes:

In the authorization section, we added links to:

In the comparison of PCA and CFSS and home care rating sections, we updated information about home care rating LT. As of Oct. 1, 2024, the home care rating LT is no longer available.

In the comparison of PCA and CFSS section, we added instructions for the transition year.

In the training information section, we added a link to Self-paced online course: CFSS MMIS Updates Training.

In the consultation services provider’s responsibilities, provider agency’s responsibilities and additional resources sections, we added Somali, Spanish, Russian and Vietnamese translations for CFSS Rights and Responsibilities, DHS-6893R-ENG (PDF).

In the published forms and documents section, we:

In the Phase I section, we updated the list of what DHS has done and still needs to do.

In the Phase II section, we updated the list of what DHS needs to do and added more specific instructions for lead agencies.

In the process for PCA section, we added a note that all assessments happening on or after Oct. 1, 2024, will follow the CFSS agency model or CFSS budget model process.

In the process for CFSS agency model and process for CFSS budget model sections, we added information about authorizing three months of PCA services after assessments during the transition year to avoid a gap in services.

In the published forms and documents section, we added forms and documents DHS published.

In the unpublished forms section, we added instructions to use PCA forms until DHS publishes new/updated forms.

In the definition, overview, person’s responsibilities and additional resources sections, we added a link to CFSS Individual Service Delivery Plan, DHS-6893P.

In the lead agency’s responsibilities section, we clarified that case management aides cannot approve the service delivery plan.

In the definitions, person’s responsibilities and additional resources sections, we added a link to CFSS Individual Service Delivery Plan, DHS-6893P.

In the published forms and documents section, we added links to:

In the forms that need updates based on public comments section, we added links to:

In the unpublished forms section, we added names of new CFSS forms and new CFSS versions of PCA forms. We will add links when they are available.

In the sections about what will change for people using PCA and what will not change for people using CSG, we clarified that when CFSS launches, the worker training and development budget will be $1,272.96 per year. The rate may change in the future in response to legislation.

In the transition plan: phase I section, we made the following changes:

In the transition plan: phase II section, we made the following changes:

In the process for PCA and process for CFSS agency model sections, we added:

In the additional resources section, we added a link to MHCP Provider Manual – Out-of-state providers.

In the lead agency’s responsibilities section, we clarified that in addition to authorizing 45 days of personal care services, the lead agency also authorizes the standard amount of consultation services.

In the definitions section, we clarified the forms for legacy assessments.

In the lead agency’s responsibilities section, we clarified that the lead agency is responsible to review CFSS service delivery plans from consultation services providers and take action based on whether they approve or deny it.

In the eligibility section, we clarified that the person must be using one of Minnesota’s waivers.

In the covered services section, we clarified that the person can only use extended CFSS units for personal care services from the personal care worker.

In the lead agency’s responsibilities section, we specified that any appropriate lead agency staff can fulfill the responsibilities.

In the person’s rights section, we added information about:

In the person’s responsibilities section, we added that the person is responsible to enter into an agreement with their provider(s) that describes the services they will receive.

In the lead agency’s responsibilities section, we made the following changes:

In the consultation services provider, FMS provider and provider agency’s responsibilities sections, we clarified all providers are responsible to perform all the duties and responsibilities described on their respective pages.

In the provider agency’s responsibilities section, we added responsibilities to:

We added a new section that describes DHS’ responsibilities.

Note: We also are making changes to the related form, CFSS Rights and Responsibilities, DHS-6893R (PDF).

In the definitions section, we clarified that sessions can be in person or remote.

In the covered services section, we added submission of the service delivery plan to the lead agency for approval.

In the non-covered services section, we clarified that managed care organizations can also preapprove additional consultation services sessions.

In the additional resources section, we added links to:

In the comparison of PCA and CFSS section, we clarified that the PCA document is called the “care plan” and the CFSS document is called the “service delivery plan.”

In the consultation services provider’s responsibilities section, we specified that the consultation services provider must send the service delivery plan to the lead agency within 10 business days.

In the lead agency’s responsibilities section, we made the following changes:

We added a lead agency’s responsibilities section that explains the lead agency is responsible to review and approve the plan.

In the PCA/CFSS provider agency’s responsibilities section, we added examples of the types of information the CFSS provider agency might add to the person’s plan.

Legislative change

Throughout the page, we removed “benefits” as an option for provider agencies to pass on the enhanced rate/budget due to a legislative change.

Addition of new resources

In the calculating CFSS-specific costs section, we added links to:

Legislative change

Throughout the page, we added PCA policy to the page effective Oct. 1, 2024. For more information, refer to the July 30, 2024, eList announcement.

Public comments

In the definitions section, we added a definition for “seven-day period” to clarify that DHS does not determine start and end dates for pay periods.

In the criteria – role section, we clarified that the policy information listed applies to all workers.

In the criteria – role section, we removed the incorrect 40-hour limitation for hours worked and work schedule.

In the semiannual review section (CFSS only), we clarified that the CFSS semiannual review can happen in person or remotely.

In the comparison of PCA and CFSS section, we clarified that:

Legislative change

In the employer’s responsibilities – supervisor section, we added a link to new policy information that allows exceptions to supervision frequency.

Public comments

In the employer’s responsibilities – billing section, we clarified that CFSS provider agencies can bill for time spent fulfilling service evaluation and supervision responsibilities.

In the requesting additional funds section, we clarified that all people receive the same initial worker training and development budget.

In the provider agency’s responsibilities section, we clarified that CFSS provider agencies must pay for the worker’s time out of their operational costs to comply with labor law. They cannot bill DHS or the MCO for this time.

In the DHS’ responsibilities section, we clarified that MMIS generates a written note when the person is at risk of exceeding their authorized PCA/CFSS units/dollars.

Public comments

In the non-covered services section, we added camps and classes.

Resources

In the calculating costs section, we added links to:

Legislative change

In the frequency and location section, we added a subsection about an exception to standard requirements.

Public comments

In the worker training and development budget section, we clarified that the CFSS provider agency can bill for agency staff time used to:

We added information about training for FMS providers, consultation services providers and lead agencies