Federally approved BI, CAC, CADI, DD and EW waiver plans, federally approved AC 1115 demonstration

Effective Feb. 1, 2025, DHS will start the rolling implementation of the CDCS unbundling project. The current CDCS policy and CDCS unbundling project policy will be in effect at the same time. For more information, refer to the Dec. 10, 2024, eList announcement.

This page does not include policy for unbundled service categories.

The person can use their individual CDCS funds to purchase any of the waiver/AC goods and services currently available under the program they are on.

In this manual, DHS refers to goods and services available under the waiver and AC programs as “traditional.”

For a complete list of goods and services available under each program, refer to:

The information on this page applies to all traditional waiver/AC services, including extended personal care assistance (PCA), extended Community First Services and Supports (CFSS) and extended home care services (refer to CFSS Manual – Extended PCA/CFSS and CBSM – Extended home care services).

This page does not apply to state plan PCA/CFSS and home care services. For information about purchasing those services, refer to CDCS Manual – Purchasing PCA/CFSS and home care services under CDCS.

The person must include the costs of all traditional waiver/AC goods and services they select in their individual CDCS budget.

All traditional waiver/AC goods and services the person selects must meet all of the program-specific provisions, such as:

PCA/CFSS and home care services through AC

People using AC can purchase PCA/CFSS and/or home care services if:

1. The person is eligible for the service they will purchase, as described on:

2. The service addresses chronic and long-term care needs only.

If a person using AC purchases PCA/CFSS or home care, the lead agency follows the policy for extended PCA/CFSS or home care services (refer to CFSS Manual – Extended PCA/CFSS and CBSM – Extended home care services).

If the person purchases a traditional waiver/AC good or service, the:

PCA/CFSS and home care services under the AC program

If the person purchases PCA/CFSS or home care services, the lead agency follows the authorization process for extended PCA/CFSS or home care (refer to CFSS Manual – Extended PCA/CFSS and CBSM – Extended home care services).

CDCS Manual – Allowable and unallowable goods and services
CDCS Manual – Purchasing PCA/CFSS and home care services
CFSS Manual – Extended PCA/CFSS
CBSM – Extended home care services