Minnesota Minnesota

CFSS Policy Manual

CFSS Policy Manual


CFSS consultation services overview

Page posted: 8/26/24

Page reviewed:

Page updated:

Legal authority

Minn. Stat. §256B.85, subd. 17

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.

Differences

PCA does not include consultation services. The rest of this page applies to CFSS only. For information about similar PCA services, refer to PCA Manual – Qualified professional (PQ) requirements overview.

Definitions

Consultation services provider: A Minnesota Health Care Programs (MHCP) provider that supports people receiving CFSS. Consultation services providers:

  • · Provide education to help people make informed decisions about how to meet their needs using CFSS.
  • · Help people write their service delivery plans, if desired.
  • · Review people’s service delivery plans.
  • · Provide people with ongoing support, as needed.

    • Session: An instance of providing covered consultation services to a person. Session time may vary. One session can include multiple tasks. Sessions can be in person or remote.

    Overview

    All people who use CFSS must select a consultation services provider. All consultation services providers must have a contract with the state to provide consultation services.

    This page provides information about the services available through consultation services. For information about provider requirements, refer to CFSS Manual – CFSS consultation services provider requirements.

    Covered services

    Consultation services include the following covered services:

    1. Service set-up and annual CFSS orientation, which includes:

  • · Education for the person about CFSS and its service options.
  • · Support for the person to write their service delivery plan, to the extent the person desires. For more information, refer to CFSS Manual – PCA/CFSS service delivery plan.
  • · Review of the person’s service delivery plan.
  • · Guidance about whether the person’s service delivery plan is complete and only contains covered services.
  • · Submission of the service delivery plan to the lead agency for approval.

    • 2. Ongoing consultation and skill development, which includes:

  • · Responses to questions and concerns the person has throughout the service plan year.
  • · Support for the person to make changes, if needed.
  • · Ongoing support for the person if they use the budget model.

    • 3. Quality assurance support, which includes:

  • · Semi-annual review for the person if they do not have a case manager/care coordinator and their spouse or parent (if a minor) serves as their worker.
  • · Assistance for the person if they are using the budget model and not fulfilling their employer duties.
  • · Recommendation to the lead agency (if the person is on a waiver or Alternative Care [AC]) or DHS (if the person is not on a waiver) to remove the person from the budget model, if necessary.

    • Non-covered services

    CFSS does not cover consultation services if the services are provided:

  • · Without prior authorization.
  • · By an entity not currently contracted with DHS to serve as a consultation services provider.
  • · By a subcontractor of a consultation services provider.
  • · By a consultation services provider that is also the person’s CFSS provider agency and/or financial management services (FMS) provider.
  • · For more than one billed session per day.
  • · For more than six sessions per year, unless preapproved by DHS or the person’s managed care organization (MCO).

    • Consultation services provider’s responsibilities

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

    Requesting additional sessions

    To request additional sessions for a person, the consultation services provider must request an increase based on the person’s situation:

  • · Person who uses state plan services: Submit the request to DHS using PCA/CFSS Technical Change Request, DHS-4074A.
  • · Person with a case manager/care coordinator: Contact the person’s case manager/care coordinator.

    • The consultation services provider must submit the following documentation to the appropriate entity:

  • · Request for the specific number of additional sessions needed.
  • · Reason for needed additional sessions.
  • · Documentation of completed sessions.

    • Lead agency’s responsibilities

    The lead agency assessor must:

  • · Give the person information about how to find a list of consultation services providers.
  • · Authorize consultation services.

    • The lead agency case manager/care coordinator must:

  • · Receive requests for additional sessions.
  • · Review documentation submitted with requests for additional sessions.
  • · Approve and update service agreements with additional sessions.

    • DHS’ responsibilities

    DHS will:

  • · Contract with and enroll consultation services providers.
  • · Receive requests for additional sessions.
  • · Review documentation submitted with requests for additional sessions.
  • · Approve and update service agreements with additional sessions.

    • Additional resources

    CFSS Manual – CFSS consultation services provider requirements
    CFSS Manual – PCA/CFSS service delivery plan
    CFSS Manual – Transition from PCA and CSG to CFSS
    PCA/CFSS Technical Change Request, DHS-4074A
    PCA Manual – PQ requirements overview
    DHS – CFSS consultation services providers

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