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Consumer Directed Community Support (CDCS) Manual

Consumer Directed Community Support (CDCS) Manual


Exception to CDCS budget methodology for BI, CAC, CADI and DD waivers

Page posted: 10/23/12

Page reviewed: 6/27/22

Page updated: 6/27/22

Legal authority

Laws of Minnesota 2017, chapter 6, article 1, sections 44 and 45

Background

The 2012 Minnesota Legislature created an exception to the current CDCS budget methodology. Subsequent legislatures have expanded the exception eligibility criteria to include more people:

  • · The 2015 Minnesota Legislature passed legislation that required federal approval, and the Centers for Medicare & Medicaid Services (CMS) approved the 2015 legislative changes in spring 2017
  • · The 2017 Minnesota Legislature passed legislation that required federal approval, and CMS approved the 2017 legislative changes in spring 2018.
  • Overview

    The CDCS budget exception increases individual CDCS budgets once, by 30%, for people who meet the eligibility requirements and are on one of the following waivers:

  • · Brain Injury (BI) Waiver
  • · Community Access for Disability Inclusion (CADI) Waiver
  • · Community Alternative Care (CAC) Waiver
  • · Developmental Disabilities (DD) Waiver.
  • Eligibility

    To be eligible for the exception, the person must meet one of the following sets of requirements.

    Requirement set #1

    The person is on a disability waiver, currently uses CDCS and meets the following criteria:

    1. Has a coordinated services and support plan (CSSP) that identifies their need for more CDCS services to do one of the following activities:

  • · Increase the amount of time they work or otherwise improve employment opportunities
  • · Plan a transition to, move to or live in their own home
  • · Develop and implement a positive behavior support plan
  • 2. Is unable to meet those needs within their current CDCS budget.

    3. Can demonstrate that they would have to stop using CDCS and start using other traditional waiver services because the supports they need for the above criteria cannot be met within their current CDCS budget.

    Requirement set #2

    The person is on a disability waiver, currently does not use CDCS and meets the following criteria:

    1. Uses licensed providers for either of the following:

  • · Employment support or services during the day
  • · Residential services
  • 2. Can demonstrate that, upon choosing CDCS, their services would cost less annually than the licensed supports they currently use.

    Requirement set #3

    The person currently is not on a disability waiver and:

  • · Has not been offered appropriate services within 60 days of discharge approval from an institutional setting
  • · Requires supports that exceed the state-set budget.
  • Lead agency responsibilities

    The lead agency is responsible for all parts of the CDCS budget exception process. Specifically, the lead agency must:

    1. Determine if the person meets the eligibility requirements by completing CDCS Budget Exception Request Form, DHS-6633 (refer to Instructions to complete the CDCS Budget Request Application, DHS-6633C [PDF])

    2. Use DHS-6633 to both:

  • · Provide information about the person
  • · Provide documentation of eligibility.
  • 3. Submit the completed DHS-6633, including required documentation, to DHS using the instructions on the form if the person meets eligibility requirements

    4. Enter an updated service agreement into MMIS to reflect the budget modification, and prorate the budget to be consistent with the current service agreement period

    5. Update/develop CDCS Community Support Plan, DHS-6532 to reflect the budget modification:

  • · For a person currently using CDCS, work with the person to revise their support plan
  • · For a person new to using CDCS, approve a CDCS support plan developed by the person
  • 6. Keep the completed DHS-6633 form in the person’s file.

    Confirmation

    The lead agency will not receive formal approval or confirmation from DHS when DHS processes the budget exception request.

    The lead agency is responsible to confirm DHS processed the request by verifying that the person’s new budget generated in the Waiver Management System (WMS). This happens after the next WMS download. It will be indicated by an asterisk (*) or an E* on the CDCS budget detail page.

    Renewal

    At the time of the person’s annual reassessment, the lead agency must determine if the person continues to be eligible for the budget exception.

    If the person continues to be eligible, the lead agency must complete steps 1-6 in the lead agency responsibilities section.

    People who currently have a budget exception

    For people who received the budget exception prior to July 1, 2019, the 20% exception will continue to be included in the person’s budget calculation. These people do not need to request renewal of their budget exception each span.

    People who currently receive the 20% budget exception but would like to receive the 30% budget exception for one or more of the listed eligibility criteria may request the budget exception by completing the CDCS Budget Exception Request Form, DHS-6633. The lead agency must request renewal of the person’s budget exception each span if the person continues to meet eligibility criteria.

    Additional resources

    CDCS Manual – Budgets overview
    CDCS Manual – Budget methodology for the BI, CAC and CADI waivers
    CDCS Manual – Budget methodology for the DD Waiver
    DD Screening Document, DHS-3067
    Instructions for Completing and Entering the LTCC Screening Document and Service Agreement Into MMIS, DHS-4625 (PDF)
    LTC Screening Document – AC, BI, CAC, CADI, ECS, EW, MHM, MSC+, MSHO, DHS-3427 (PDF)

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