Page posted: 8/26/24

Minn. Stat. §256B.85, subd. 6 and 6a, Minn. Stat. §256B.0659, subd. 7

DHS is in the process of replacing PCA with CFSS. For more information about this transition, refer to CFSS Manual – Transition from PCA and CSG to CFSS.

Similarities

In both PCA and CFSS, a person must have a document that describes what services they will receive and how those services will be delivered.

Differences

In PCA, the document is called the “care plan.” The qualified professional (QP) and the person develop the care plan. The QP is responsible to ensure the plan meets the person’s needs and ensure the person’s health and safety. For more information, refer to PCA Manual – QP requirements overview.

In CFSS, the document is called the “service delivery plan.” The person develops the service delivery plan with the assistance of the consultation services provider, as desired. The rest of the information on this page applies to CFSS only.

CFSS service delivery plan: A person-centered, written document that identifies the CFSS services a person will receive based on their assessed needs and how those services will be delivered. For a template, refer to CFSS Individual Service Delivery Plan, DHS-6893P.

For information about the required components of the service delivery plan, refer to CFSS Manual – PCA/CFSS service delivery plan.

After an assessment determines the person is eligible for CFSS services:

1. The person chooses to receive CFSS services.
Note: The lead agency might need to provide temporary approval for people using CFSS at the time of their reassessment if they will not have an approved CFSS service delivery plan by the end of their current service plan year. For more information, refer to the temporary plan approval section on this page.

2. The person selects a consultation services provider.

3. The consultation services provider offers the person information and help writing the CFSS service delivery plan.

3. The person writes the CFSS service delivery plan, with help from the consultation services provider as desired. For a template, refer to CFSS Individual Service Delivery Plan, DHS-6893P.

4. The consultation services provider reviews and offers the person guidance about whether their CFSS service delivery plan:

5. The consultation services provider sends the CFSS service delivery plan to the lead agency.

6. The lead agency approves the services in the CFSS service delivery plan.

7. The lead agency completes and signs Lead Agency Addendum to CFSS Individual Service Delivery Plan, DHS-6893W. For instructions, refer to DSD MMIS Reference Guide – ASA3 overview.

Note: Managed care organizations (MCOs) can use an alternative form instead of DHS-6893W.

8. The lead agency authorizes services using a start date based on the person’s situation:

Note: The person does not need sign the CFSS service delivery plan again after the lead agency makes these changes.

9. The lead agency:

The consultation services provider must use a person-centered planning process when supporting the person as they develop their CFSS service delivery plan. The person-centered planning process must:

The person is responsible to write their CFSS service delivery plan and submit it to their consultation services provider. Their CFSS service delivery plan must meet all requirements described on CFSS Manual – PCA/CFSS service delivery plan. The person can ask their consultation services provider for as much help as they want to develop their CFSS service delivery plan. For a template, refer to CFSS Individual Service Delivery Plan, DHS-6893P.

In the CFSS agency model, the person is responsible to monitor the effectiveness of the CFSS service delivery plan with the provider agency and, if needed, make changes with the consultation services provider’s support and lead agency’s approval, if applicable.

In the CFSS budget model, the person is responsible to monitor the effectiveness of the CFSS service delivery plan and, if needed, make changes with the consultation services provider’s support and lead agency’s approval, if applicable.

The consultation services provider is responsible to:

The lead agency must review the CFSS service delivery plan and ensure it meets all requirements (refer to CFSS Manual – PCA/CFSS service delivery plan) and does not include services or goods that are not covered (refer to CFSS Manual – PCA/CFSS covered services).

Note: DHS does not determine which specific lead agency staff member approves the plan, but the staff member must have training and/or experience with assessment and/or case management. Case management aides cannot approve the service delivery plan. For information about case management aides, refer to CBSM – Case management aides.

If the CFSS service delivery plan does not meet CFSS requirements, the lead agency can either:

The lead agency is responsible to approve or deny the CFSS service delivery plan within 30 calendar days. If the lead agency denies the CFSS service delivery plan, the lead agency must provide a notice of action to the person explaining the denial. For additional information, refer to CBSM – Notice of action.

The lead agency is responsible to send a copy of the approved CFSS service delivery plan to:

If a person using CFSS at the time of their reassessment will not have an approved CFSS service delivery plan before the end of their current service plan year, the lead agency must:

1. Authorize a year of the same CFSS services the person is currently using, based on the new assessment results, as follows:

2. Complete Temporary CFSS Individual Service Delivery Plan Approval, 6893L (PDF) and:

Notes:

Next steps

After receiving a temporary authorization, all parties must follow the standard process on this page to complete and approve a new version of CFSS Individual Service Delivery Plan, DHS-6893P.

Once approved, the lead agency must:

For instructions to update the service agreement, counties/tribal nations can reference DSD MMIS Reference Guide – Update type B service agreement. MCOs follow their own processes and procedures.

Note: A temporary CFSS service authorization does not replace the requirements to complete a new DHS-6893P and DHS-6893W.

Example

A person is currently using the CFSS budget model with a $50,000 budget. Their current authorization has the following CFSS services:

The person’s assessment determined they are eligible for a $60,000 budget for next year. The lead agency authorizes:

Once the person submits a new CFSS Individual Service Delivery Plan, DHS-6893P, the lead agency reviews and either approves or denies it.

If the person uses the CFSS agency model, the lead agency sends the approved CFSS service delivery plan to the CFSS provider agency. The provider agency is responsible to:

If the person uses the CFSS budget model or plans to purchase goods and services through the CFSS agency model, the lead agency sends the approved CFSS service delivery plan to the FMS provider. The FMS provider is responsible to: