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Legal authority

Minn. Stat. §256B.85, subd. 11a and subd. 11b

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 the CFSS agency model, the provider agency must oversee and evaluate services.

Differences

In PCA, the qualified professional (QP) is responsible to supervise services, as described on PCA Manual – QP requirements overview.

In the CFSS agency model, the provider agency is responsible to supervise services. The rest of this page applies to the CFSS agency model only.

Definition

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.

Overview

In the CFSS agency model, the CFSS provider agency must evaluate the delivery of services by regularly reviewing services with the person and their representative, if applicable.

Note: In both the CFSS agency model and CFSS budget model, there is also a requirement to evaluate the person’s workers (as described on CFSS Manual – CFSS worker training and supervision). The requirement to evaluate workers is separate from the evaluation of services described on this page.

Frequency and location

The CFSS provider agency must conduct a review of services:

The following reviews must occur in person:

The CFSS provider agency can conduct other reviews remotely.

Note: The frequency and requirements for worker evaluation (as described on CFSS Manual – CFSS worker training and supervision) are different than those listed on this page. However, the provider agency can combine the service and worker reviews if they are meeting the minimum requirements for both reviews.

Exception to standard requirements

The supervising professional may conduct the required reviews remotely for a person with chronic health conditions or a severely compromised immune system when:

1. The person requests a determination from their primary health care provider.

2. The primary health care provider determines remote supervision is appropriate.

3. The primary health care provider documents their determination of need for remote supervision.

4. The CFSS provider agency retains copies of the primary health care provider’s documents with all copies of the person’s service delivery plan.

The supervising professional must conduct the following reviews in person:

The person may request to return to in-person reviews at any time.

Documentation

During each review, the CFSS provider agency must document the following information in their files:

Worker training and development budget

The CFSS provider agency can bill for agency staff time used to:

Additional resources

CFSS Manual – CFSS worker training and supervision
CFSS Manual – PCA/CFSS provider agency requirements overview
CFSS Manual – Transition from PCA and CSG to CFSS
PCA Manual – QP requirements overview