Minn. Stat. §256B.85, subd. 13a

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.

Differences

PCA does not include financial management services (FMS). This page applies to CFSS only.

Financial management services (FMS) provider: An organization that people use to help them with employer-related responsibilities and FMS tasks. DHS contracts with all FMS providers to provide these services and enrolls them as Minnesota Health Care Programs (MHCP) providers. For more information about the services, refer to CFSS Manual – FMS for CFSS.

Note: FMS providers also provide similar services to people using consumer directed community supports (CDCS). For information about those services, refer to CDCS Manual – FMS for CDCS.

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.

The FMS provider must receive a copy of the person’s approved CFSS service delivery plan. All payments and reimbursements the FMS provider submits to DHS must correspond with the services, goods, rates, amounts, frequency and timeframes as authorized in the service delivery plan.

The FMS provider must maintain records to ensure a clear audit trail and track all CFSS spending, including:

The FMS provider must maintain these records for a minimum of five years from the claim date and make them available to DHS upon request for audit or review.

The FMS provider must provide monthly reports of the total CFSS services billed, including charges for the FMS provider and balances of authorized budgets (compared to the spending plan) to: