Minn. Stat. §256B.85, subd. 11b and 18a

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 PCA and CFSS, the worker’s employer must train, supervise and evaluate the worker.

Differences

In PCA, an individual called the qualified professional (QP) is responsible to:

In CFSS, the entity responsible for these tasks depends on the person’s model:

The rest of this page applies to CFSS only. For PCA-specific information about worker training and development, refer to PCA Manual – QP requirements overview.

Responsible party (RP)/participant’s representative: An individual who is age 18 or older and capable of directing care on behalf of a person receiving PCA/CFSS services when the person is assessed as unable to direct their own care. In PCA, this individual is called the RP. In CFSS, this individual is called the participant’s representative.

Note: All references to “representative” on this page refer to the participant’s representative, unless otherwise specified.

Employer: The entity responsible for recruiting, hiring, supervising, training and firing workers. In the CFSS agency model, the CFSS provider agency is the employer of CFSS workers. In the CFSS budget model, the person or their representative (if applicable) is the employer of CFSS workers.

Supervising professional: An individual with the background necessary to train the worker on a specific task and evaluate the worker’s competence to perform that task. An individual may meet this definition because of their education, training and/or experience. The supervising professional’s role is similar to the QP’s role in PCA. An active QP can serve as a CFSS supervising professional if they complete training on CFSS policy. For more information, refer to CFSS Manual – PCA/CFSS provider agency training requirements.

If the person receives health-related tasks in the agency model, the CFSS agency must ensure an individual with the license, education, training or work experience appropriate to the task(s) trains and supervises the worker. For more information, refer to CFSS Manual – PCA/CFSS health-related procedures and tasks.

This page provides information about roles and responsibilities related to worker training and supervision.

Worker training and development budget

Each person has a worker training and development budget that can cover the cost of the CFSS provider agency training and supervising the worker (agency model only) and classes (both models) about the person’s needs. For more information, refer to CFSS Manual – CFSS worker training and development budget.

Supervision and evaluation of services

CFSS provider agencies are also responsible to supervise and evaluate services (agency model only). For more information, refer to CFSS Manual – CFSS provider agency evaluation of services.

The worker’s employer is responsible to train, supervise and evaluate the worker’s competency.

In the agency model, the CFSS provider agency is the employer. The person works with the supervising professional to train and supervise the workers.

In the budget model, the person is the employer. The person trains and supervises the workers.

The following sections describe the specific responsibilities of the employer.

Worker training plan

All people using CFSS must have a worker training plan. The employer must create a plan that describes:

Supervision and evaluation

For each worker, the employer must:

If the worker is a minor, the employer must complete all worker competency evaluations in person and in a setting where the person is receiving CFSS services.

Note: If the person meets the exception requirements described on CFSS Manual – CFSS provider agency evaluation of services, the CFSS provider agency can conduct these evaluations remotely.

Documentation

For each worker, the employer must document:

For people using the budget model, the person must document completion of these responsibilities using Worker Information for CFSS Budget Model, DHS-6893T or the applicable translation:

Updates to the worker training plan

The employer must update the worker training plan in all of the following situations:

Agency model

In the CFSS agency model, the person is responsible to work with the supervising professional to train and supervise their workers.

Budget model

In the CFSS budget model, the person is responsible to train and supervise their workers and complete Worker Information for CFSS Budget Model, DHS-6893T or the applicable translation:

For additional information, refer to the employer responsibilities section above.

The consultation services provider is responsible to:

For additional information, refer to CFSS Manual – CFSS consultation services provider requirements.

For people who use the agency model, the CFSS provider agency is responsible for the activities listed in the employer responsibilities section above.

For people who use the budget model, the FMS provider is responsible to provide the person with a copy of Worker Information for CFSS Budget Model, DHS-6893T or the applicable translation: