Legal authority

Minn. Stat. §256B.0625 subd. 19(a), Minn. Stat. §256B.0659, Minn. Stat. §626.557 subd. 14(b), Minn. Stat. §256B.85

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, a person must have a service delivery plan that describes what services they will receive and how those services will be delivered.

Differences

In PCA, the document is called the “care plan.” In CFSS, the document is called the “service delivery plan.”

There are differences in covered and non-covered services in PCA and CFSS. There are also differences in the process to develop a service delivery plan. For more information, refer to:

Additionally, in CFSS:

Definitions

Service delivery plan: A person-centered, written document that identifies the PCA/CFSS services a person will receive based on their assessed needs and how those services will be delivered. For a template, refer to CFSS Individual Service Delivery Plan, DHS-6893P.

Responsible party (RP)/participant 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.

Overview

A person must create or update their PCA/CFSS service delivery plan in the following situations:

A copy of the person's most current service delivery plan must be kept:

All individual workers must know the location of the person's service delivery plan.

Plan requirements

Requirements for both PCA and CFSS

Total units/dollars

The service delivery plan must list the total units (PCA or CFSS agency model) or total dollars (CFSS budget model) available.

Basic information

The service delivery plan must include:

Services

The service delivery plan must list all covered services a paid worker will perform. It cannot list services identified as non-covered services as tasks a paid worker will perform. For more information, refer to CFSS Manual – PCA/CFSS covered services.

In CFSS, there are additional requirements for services, as described in the additional CFSS requirements section below.

Service instructions

The service delivery plan must include descriptions of:

Emergency plan

The service delivery plan must include an emergency plan with:

Additional CFSS requirements

In addition to the requirements listed above, a CFSS individual service delivery plan must include:

1. Worker training and development plan (refer to CFSS Manual – CFSS worker training and supervision).

Note: People who use the agency model complete the worker training and development plan with their provider agency. They must leave that section on DHS-6893P blank when they submit it to the lead agency for approval.

2. Description and cost of goods and services (if applicable), including how they meet the criteria for covered goods and services (refer to CFSS Manual – Goods and services through CFSS).

3. Personal emergency response system (PERS) provider and costs (if applicable; refer to CFSS Manual – CFSS PERS).

4. Skill maintenance and enhancement plan (if applicable).

5. Job descriptions for workers (if applicable; CFSS budget model only).

6. How the person will meet all ADL dependencies identified on their assessment results, even if the person will not use a CFSS worker to meet those needs.

7. If the person will use a paid worker, informal unpaid support, good/service or a combination of those options to meet each need.

8. All other coverable CFSS services a paid worker will perform, including:

Note: Medication management is categorized as an IADL on the MnCHOICES assessment results. However, if the person has this need, they list help with self-administered medications under the health-related procedures and tasks section of the service delivery plan.

Services provided by informal supports

The person can choose to list the following covered CFSS services if they plan to have an informal support perform them:

If the person plans to use an informal support to perform covered CFSS services, it is helpful list this information in their service delivery plan to avoid further edits.

Person's responsibilities

Responsibilities for PCA

The person or their RP (if applicable) is responsible to:

Responsibilities for CFSS

The person or their representative (if applicable) is responsible to:

Consultation services provider’s responsibilities (CFSS only)

For people who use CFSS, the consultation services provider must:

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

Lead agency’s responsibilities

The lead agency is responsible to review and approve the service delivery plan. For more information, refer to CFSS Manual – CFSS service delivery plan development and approval process.

PCA/CFSS provider agency’s responsibilities

For people who use PCA or the CFSS agency model, the PCA/CFSS provider agency is responsible to:

FMS provider responsibilities (CFSS only)

For people who use the CFSS budget model or people who use the CFSS agency model and purchase goods and services, the FMS provider is responsible to:

For more information, refer to CFSS Manual – FMS provider requirements for CFSS.