Initial responsibilities of the lead agency | Before the person selects CDCSWhen the lead agency determines a person is eligible for an HCBS waiver or the Alternative Care (AC) program, the lead agency should provide information to the person so he/she can make an informed choice about his/her services. This information should include: · Services that could meet the person’s needs (including CDCS)· Explanation of self-direction and its roles and responsibilities· Budget information for CDCS· Services, supports and goods the person can purchase within a CDCS budget.Learning moduleDHS designed the CDCS online learning module for lead agencies to share with people on waivers or AC who are interested in learning about CDCS. Lead agencies can also share this online learning module with current CDCS participants as an informational resource. After the person selects CDCSAfter the person selects CDCS, the lead agency: · Authorizes non-CDCS waiver/AC services, if necessary, while the person develops his/her CDCS Community Support Plan (CSP) · Gives the person a list of certified support planners (if applicable)· Gives the person a list of DHS-certified financial management services (FMS) providers· Gives the person options for person-centered planning· Provides a summary of assessment information to help guide the person’s plan development.After the person develops a planOnce the person develops his or her CDCS CSP, the lead agency: · Reviews the plan· Approves, recommends changes, approves part of or denies the plan· Creates a service authorization.Once the person and the lead agency settle on a final, approved CDCS CSP, the lead agency signs it and gives a copy to the: · Person· FMS provider· Support planner (if applicable). |
Initial responsibilities of the person | Choose an FMSTo access CDCS, the person must first select a financial management services (FMS) provider. The FMS provider: · Assists the person with employer-related and other financial responsibilities· Initiates background studies for CDCS workers· Provides information about service model options. The person and the FMS provider sign an agreement that identifies: · The FMS provider’s costs· Roles and responsibilities of the FMS provider, the person and the support workers.Other responsibilitiesThe person also is responsible to: · Develop his/her CDCS Community Support Plan· Select his/her support workers and service providers (as applicable)· Submit the completed CDCS Community Support Plan to the lead agency.If the person needs assistance in writing the CDCS Community Support Plan, he/she can choose to: · Spend some of his/her CDCS budget to hire a certified CDCS support planner who can help him/her write the plan· Receive guidance from his/her waiver/AC case manager/care coordinator· Receive guidance from a relocation services coordinator or AC conversion case manager if he/she still lives in an institution and is eligible for Medical Assistance or the AC program. |
Plan implementation and ongoing oversight | Once plan implementation begins, the person begins to direct his/her services. The person, FMS provider and lead agency each have responsibilities. PersonThe person is responsible to: · Communicate on an ongoing basis with lead agency and FMS provider· Hire, train, monitor and manage support workers · Monitor and evaluate services to ensure they are adequately meeting assessed needs· Make revisions to the CDCS Community Support Plan as needed (some revisions will require lead agency approval)· Review and monitor spending summaries · Review and submit support workers’ timesheets to the FMS provider. FMS providerThe FMS provider is responsible to: · Bill DHS or the managed care organization (MCO)· Provide monthly spending summaries to the person· Provide quarterly spending summaries to the lead agency· Provide monthly reports to the lead agency when over or under-spending occurs· Receive and process invoices for approved expenditures · Review and process support workers’ timesheets.Lead agencyThe lead agency is responsible to: · Help the person, as needed, succeed in the community and meet CDCS program and service requirements· Inform the FMS provider, support planner (if applicable) and person when it approves revision to the CDCS Community Support Plan· Meet with the person at a frequency outlined in his/her plan and according to his/her program requirements· Monitor and evaluate the plan’s implementation, including the person’s health, safety and satisfaction, the plan’s effectiveness and possible need for revision· Review and monitor spending summaries.The lead agency has additional monitoring requirements when a parent of a minor or a spouse serves as a paid worker. For more information, see CDCS – Paying a spouse or parent of a minor for personal assistance. ReassessmentsThe lead agency must perform a reassessment annually and when the person experiences a significant change in his/her need for services. For more information, see CBSM – Assessment applicability and timelines. |
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