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Legal authority

Minn. Stat. §256.85, subd. 9, Minn. Stat. §245A.04, subd. 9a, Minn. Stat. §256B.0652, subd. 10

Comparison of PCA and CFSS

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:

Differences

There are no differences in this policy for PCA and CFSS.

Definition

Own home: A single-family home or a unit in a multi-family home (e.g., apartment) the person or their family owns or rents. This means a service provider does not own, operate or lease the home/unit or have direct or indirect financial interest in the person's housing.

If the person or family member rents the unit, the person or their family must maintain control over the individual unit, as demonstrated by a lease agreement.

A person's own home does not include a single-family home or multi-family home where the person’s PCA/CFSS provider agency, financial management services (FMS) provider or consultation services provider subleases or has a master lease agreement and subleases.

Note: On this page, “PCA/CFSS provider” refers to PCA/CFSS provider agencies and FMS providers.

Allowable settings

PCA/CFSS services are covered when a person:

1. Lives in their own home, as defined above.

2. Lives in one of the following settings if that setting’s provider is not responsible to provide the same services:

Variance to foster care setting allowance

PCA/CFSS services are covered in a family foster care setting licensed for more than six people if all of the following are true:

Disallowed settings

A person cannot live in any of the following settings and use PCA/CFSS:

Documentation

There must be documentation to describe which provider is responsible to deliver the services the person will use. The location of this documentation depends on the person’s situation:

Person’s responsibilities

A person on a waiver/AC living in an HCBS setting is responsible to tell their case manager or care coordinator their preferences about which provider delivers which services.

Lead agency’s responsibilities

For a person on a waiver/AC, the lead agency is responsible to work with the person, the waiver service provider (e.g., customized living, ICS) and the PCA/CFSS provider to determine and document which provider delivers which services. For more information, refer to the documentation section on this page.

For a person not on a waiver/AC, the lead agency is responsible to include each provider’s responsibilities in the placement paperwork.

PCA/CFSS provider agency and FMS provider’s responsibilities

The PCA/CFSS provider is responsible to ensure they do not deliver services the HCBS provider is responsible to deliver.

Consultation services provider’s responsibilities

The consultation services provider’s responsibilities are the same as usual. For more information, refer to CFSS Manual – Consultation services provider requirements.