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Consumer Directed Community Support (CDCS) Manual

Consumer Directed Community Support (CDCS) Manual


CDCS unbundled service category: Community integration and support

Page posted: 12/10/24

Page reviewed:

Page updated:

Legal authority

Federally approved BI, CAC, CADI, DD and EW waiver plans, Alternative Care program (Minn. Stat. §256B.0913)

Unbundling project

This page includes CDCS unbundled service category policy. When a person transitions to the unbundled CDCS service categories, they will use the policy on this page.

For information about who must use this new policy, refer to the Dec. 10, 2024, eList announcement.

Definition

Community integration and support: Services that focus specifically on successful participation in community membership. These services provide the person with access and support to develop and maintain skills to:

  • · Safely live in the community.
  • · Participate as a member of the community.
  • · Develop and pursue meaningful day supports and community engagement for people who have chosen not to pursue employment opportunities.
  • · Improve social skills and community behavior.
  • · Build relationships.
  • · Improve positive behavior.
  • · Improve mental health.

    • Covered services

    Community integration and support services must meet the criteria on CDCS Manual – Allowable and unallowable goods and services under CDCS.

    Direct support

    Under CDCS community integration and support, covered services include payment to workers directly hired by the person for support and training to help the person:

  • · Engage in activities that facilitate, develop and strengthen personal relationships with community members chosen by the person.
  • · Self-design day support services that provide the person with opportunities for regular connections to community members.
  • · Self-design independent living skills training based on the person’s assessed needs.
  • · Participate in local community events, community support groups, organizations and clubs, formal and informal community associations and neighborhood groups.
  • · Assist with a person’s preferred volunteer experiences focused on community contribution rather than employment preparation.

    • Employer-related costs

    Employer-related costs include fees, taxes and benefits.

    Fees and taxes

    The person must consult with their financial management services (FMS) provider about fees and taxes (e.g., FICA, FUTA, SUTA, workers’ compensation, unemployment).

    Benefits

    Benefits include paid time off, holiday pay, employer share of health insurance and bonuses to workers directly employed by the person.

    Paid time off and holiday pay: The person must comply with the collective bargaining agreement negotiated between the state of Minnesota and the Service Employees International Union Healthcare Minnesota & Iowa (SEIU).

    Employer share of health insurance (optional): The person can provide this optional benefit to their workers.

    Bonuses to workers directly employed by the person (optional): The person can incorporate an optional worker bonus into their CDCS community support plan (CSP) to help them recruit, reward and retain their workers. The person’s plan must describe the bonus in detail, including:

  • · Purpose and intent of the bonus.
  • · What the worker must achieve to receive a bonus. (e.g., length of service, job performance, extra hours worked, taking open shifts).
  • · Bonus amount.
  • · Evaluation period.
  • · Frequency of bonus distribution.

    • Non-covered services

    The person cannot use community integration and support for:

  • · Expenses related to community participation other than wages and mileage reimbursement to workers.
  • · Tickets and related costs to attend sporting or other recreational events.
  • · Expenses for travel, lodging or meals related to training the person, their representative or paid or unpaid caregivers.
  • · Insurance other than costs related to employer share of health insurance for direct support workers.
  • · Membership dues other than costs related to fitness or physical exercise for adults as specified in the person’s CDCS CSP.
  • · Vacation expenses other than the cost of direct services. For more information, refer to the out-of-state services section of CBSM – Waiver, AC and ECS general process and procedures.
  • · Animals (including service animals) and their related costs.

    • Remote support service delivery option

    Workers can deliver CDCS community integration and support through remote support. Services delivered through remote support must meet all of the requirements listed on CBSM – Remote support.

    Provider standards and qualifications

    All workers who provide CDCS community integration and support must:

  • · Comply with the criminal background study standards in Minn. Stat. Ch. 245C; refer to CDCS Manual – Background studies for direct-contact CDCS services.
  • · Meet all Minnesota Health Care Programs (MHCP) individual provider enrollment requirements.
  • · Receive individual training from the person or their representative.
  • · Be able and willing to provide the service-related responsibilities outlined in the person’s CDCS CSP.
  • · Be able to communicate successfully with the person.

    • Verification of qualifications

    The FMS provider is responsible to verify that the worker’s background study meets qualifications:

  • · Before the person hires the worker.
  • · As necessary after the person hires the worker.

    • In addition, MHCP will process an individual provider agreement with each worker on behalf of the person.

    The person is responsible to verify that the worker meets the qualifications outlined in their CDCS CSP.

    Additional resources

    CDCS Manual – Allowable and unallowable goods and services under CDCS
    CDCS Manual – Background studies for direct-contact CDCS services
    CBSM – Remote support
    CBSM – Waiver, AC and ECS general process and procedures

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