DHS/DCYF Online Manuals will be unavailable May 21, 2026 — May 22, 2026 due to system maintenance.

Minnesota Minnesota

Community-Based Services Manual (CBSM)

Community-Based Services Manual (CBSM)


Documents produced within the MnCHOICES Application

Page posted: 4/21/25

This page informs lead agencies about the documents in MnCHOICES.

For additional information, refer to CBSM – Forms for long-term services and supports (LTSS) assessment, eligibility and support plans.

Document title

Purpose

Old title

Who generates the document in the system

Completion timeline

Who receives the document

Assessment results

Provides detailed information about MnCHOICES assessment eligibility determination

MnCHOICES eligibility summary

Certified assessor

Not applicable

  • · Person/legal representative (upon request)
  • · Case managers and care coordinators (can access in MnCHOICES)
  • MnCHOICES assessment

    Provides a copy of information documented in the MnCHOICES assessment

    MnCHOICES assessment report

    Certified assessor

    Not applicable

  • · Person/legal representative (upon request)
  • · Case managers and care coordinators (can access in MnCHOICES)
  • Assessment summary

    Provides a summary of what the certified assessor discovered through the assessment process and identifies next steps based on a person’s needs

    Community support plan (CSP)

    Certified assessor

    Provided with every MnCHOICES assessment, no later than 60 calendar days from the assessment

  • · Person/legal representative
  • · Case managers and care coordinators (can access in MnCHOICES)
  • Functional assessment

    Provides the functional assessment section of the MnCHOICES assessment (typically not printed)

    MnCHOICES functional assessment

  • · Case manager
  • · Care coordinator
  • · Consultation services providers
  • Not applicable

    Person/legal representative (upon request), but this document can create confusion because it is not the complete MnCHOICES assessment

    Supplemental summary charts

    Provides information for the delivery of Community First Services and Supports (CFSS) services, based on assessment results

    PCA provider report

    Certified assessor

    Sent after the CFSS service delivery plan is approved to the CFSS agency provider

  • · Person/legal representative
  • · Participant’s representative
  • · CFSS providers
  • · Case managers, care coordinators and consultation service provider (can access in MnCHOICES)
  • Health risk assessment (HRA)

    Provides a copy of information in the managed care organization (MCO) HRA

    New printed document

    Care coordinator

    Not applicable

  • · Person/legal representative (upon request)
  • · Certified assessors and case managers (can access in MnCHOICES)
  • Assessment and program acknowledgement

  • · Provides information about the person’s rights and responsibilities
  • · Is printed by counties and tribal nations to obtain handwritten signature(s)
  • New printed document

    Certified assessor

    After every assessment

    Person/legal representative when a handwritten signature is collected

    Note: When signed electronically, the signed copy of this document is printed as a part of the assessment summary.

    Support plan print

    Provides a summary of the person’s choice of supports and/or services and the person’s preferences for the delivery of supports/services

    Coordinated services and supports plan (CSSP)

  • · Certified assessor
  • · Case manager
  • · Care coordinator
  • No later than 60 calendar days from the assessment

    Note: Care coordinators must follow MCO timelines.

  • · Person/legal representative
  • · Provider, with permission of person/legal representative
  • · Certified assessors, case managers and care coordinators (can access in MnCHOICES)
  • About me
    My care team

    Highlights important information from the about me section, including a person’s care team

    New printed document

  • · Certified assessor
  • · Case manager
  • · Care coordinator
  • Not applicable

  • · Person/legal representative (upon request)
  • · Certified assessors and case managers (can access in MnCHOICES)
  • Care coordination next steps indicator report

  • · Provides a high-level summary of some responses to parts of the HRA or MnCHOICES assessment with the staying healthy, section
  • · Highlights requested assistance and necessary follow-up
  • New printed document

  • · Certified assessor
  • · Case manager
  • · Care coordinator
  • Not applicable

  • · Person/legal representative (upon request)
  • · Certified assessors and case managers (can access in MnCHOICES)
  • CFSS to PCA conversion worksheet

    Note: Use this document only for assessments completed before Oct. 1, 2024. This form is not relevant for assessments completed after Oct. 1, 2024. All time authorized is at the CFSS level.

    Converts CFSS MnCHOICES programming to the PCA rules, used when the MnCHOICES assessment has a CFSS home care rating of “P,” “Q” or “R”

    New printed document

  • · Certified assessor
  • · Case manager
  • · Care coordinator
  • · Sent within 10 days of the assessment when the person is eligible for PCA and assessment was completed before Oct. 1, 2024
  • · Sent when the case manager sends the support plan to the person
  • Person/legal representative

    Report this page