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Consumer Directed Community Support (CDCS) Manual

Consumer Directed Community Support (CDCS) Manual


CDCS unbundled service category: Treatment and training

For the previous version of this policy (i.e., before unbundling), refer to CDCS Policy Manual – Treatment and training and CDCS Lead Agency Operations Manual, DHS-4270 (PDF).

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), Minn. R. 9525.3015, subp. 16

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.

Definitions

Treatment and training: CDCS service category that promotes the person’s health and ability to live and participate in the community.

Specialized therapies and behavioral supports: Services that a Minnesota Health Care Program (MHCP) medical provider prescribes to relieve the person’s disability and/or health condition.

Training and education for paid and unpaid caregivers: Services that pay for training and education to support the caregiver’s ability to care for the person.

Training and education for the person: Services that pay for training and education to increase the person’s ability to manage their CDCS services.

Class: A single training.

Course: A series of classes.

Conference: A single or multi-day workshop or training, annual conference or symposium.

Overview

This page includes policy and procedure about the CDCS treatment and training service category that covers:

  • · Specialized therapies and behavioral supports.
  • · Training and education for paid and unpaid caregivers.
  • · Training and education for the person.
  • For information about other CDCS service categories, refer to CDCS Manual Unbundled service categories.

    Covered services

    All services and goods must meet the criteria on CDCS Manual – Allowable and unallowable goods and services under CDCS.

    Specialized therapies and behavioral supports

    This CDCS service category covers specialized therapies and behavioral supports when the services meet all the following criteria:

  • · Prescribed by an MHCP medical provider licensed to practice in Minnesota (physician, physician’s assistant or advanced practice registered nurse [APRN]).
  • · Not available through other funding sources, such as Medical Assistance (MA).
  • · Relieve the person’s disability and/or health condition.
  • The person’s medical provider must complete and sign CDCS Specialized Therapy Request Form, DHS-5788C and/or CDCS Behavioral Support Request Form, DHS-5788B.

    The lead agency reviews the form to determine whether CDCS can fund the requested specialized therapy or behavioral support.

    Training and education for paid and unpaid caregivers

    This CDCS service category covers the cost of training and education for paid and unpaid caregivers to support their ability to care for the person when the training and education meet all the following criteria:

  • · Directly related to a need identified in the person’s assessment due to their disability and/or health condition.
  • · Helps the caregiver provide the person’s care or support.
  • · Identified as the least costly and most effective means to meet the person’s needs.
  • · Included in the CDCS community support plan (CSP) to meet the person’s assessed needs.
  • Examples of covered expenses include:

  • · Registration fees to attend classes, conferences and courses.
  • · Time for paid caregivers to attend classes, conferences and courses.
  • Training and education for the person

    This CDCS service category covers the cost of training and education for the person to increase their ability to manage their CDCS services when the training and education meet all the following criteria:

  • · Directly related to a need identified in the person’s assessment due to their disability and/or health condition.
  • · Identified as the least costly and most effective means to meet the person’s needs.
  • · Included in the CDCS CSP to meet the person’s assessed needs.
  • Examples of covered expenses include registration fees to attend classes, conferences and courses.

    Non-covered services

    General non-covered services

    This CDCS service category does not cover:

  • · Fees incurred by the person, such as MHCP fees and co-pays.
  • · Prescription or over-the-counter medications, compounds, solutions or related fees, including premiums and co-pays.
  • · Animals (including service animals) and their related costs.
  • Specialized therapies and behavioral supports

    This CDCS service category does not cover:

  • · Medical treatment or services available through other funding sources, such as MA state plan or waivers.
  • · Items or goods.
  • · Experimental treatments as defined under Minn. R. 9525.3015, subp. 16.
  • · Medical treatment or services that exceed current MA coverage limits.
  • Note: These services cannot replace medical treatment or services available through MA.

    Training and education for paid and non-paid caregivers

    This CDCS service category does not cover expenses for travel, lodging or meals related to classes, conferences and courses.

    Training and education for the person

    This CDCS service category does not cover:

  • · Expenses for travel, lodging or meals related to classes, conferences and courses.
  • · Payment to the person to attend classes, conferences and courses.
  • · Services covered by other liable third parties (e.g., educational expenses under the Individuals with Disabilities Education Act [IDEA] or Vocational Rehabilitation Act).
  • · Ongoing skills training covered by other CDCS service categories.
  • · 1:1 training to the person in their home.
  • Remote support service delivery option

    CDCS treatment and training can be delivered through remote support. Services delivered through remote support must meet all the requirements listed on CBSM – Remote support.

    Provider standards and qualifications

    Specialized therapies and behavioral supports

    Providers of specialized therapies or behavioral supports must:

  • · Meet the certification or licensing requirements in state law related to the service being provided (e.g., hippotherapy from a provider certified by the American Hippotherapy Certification Board or occupational therapy, physical therapy or speech-language therapy from a board-certified provider).
  • · Be included in the person’s CDCS CSP.
  • Training and education for paid and non-paid caregivers and the person

    Training and education providers must hold relevant professional licenses, credentials or certifications as required by state law.

    For training and education that does not require professional licenses, credentials or certifications, the person can define provider qualifications in their CDCS CSP.

    Lead agency responsibilities

    Before the person receives services, the case manager must:

  • · Verify the provider holds the license, credential or certification required by state law for the service.
  • · Ensure the provider has not had state or county agency contracts or provider agreements discontinued due to fraud.
  • · Ensure the provider has not been disqualified under the criminal background check according to the standards in Minn. Stat. Ch. 245C.03 (Background Studies Act).
  • If state law does not require the provider of the service to hold a license, credential or certification, the case manager is responsible to verify the provider meets the qualifications defined in the CDCS CSP. The person must maintain documentation of provider qualifications.

    Additional resources

    CDCS Manual – Allowable and unallowable goods and services under CDCS
    CDCS Manual – Purchasing traditional AC/waiver goods and services under CDCS (unbundled)
    CDCS Manual Unbundled service categories
    CBSM – Remote support

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