CFSS (Community First Services and Supports)
What is CFSS?
The Minnesota Department of Human Services is preparing to transition from personal care assistance (PCA) to community first services and supports (CFSS). Both PCA and CFSS provide supports to people to help them remain independent in the community and are similar in many ways.
Additionally, CFSS will expand people’s choices about how they receive their services, including who can provide services, additional support for writing plans, more self-direction options and the ability to purchase goods to aid a person’s independence.
How are CFSS and PCA similar?
The eligibility requirements for CFSS will be the same as PCA. The person must:
- Live in his or her own home
- Be able to direct care or have a representative who can direct care on his/her behalf
- Be on one of Minnesota’s health care programs
- Have an assessment that determines he/she is eligible.
CFSS will cover the same main services as PCA:
- Activities of daily living, such as eating, bathing, grooming and transferring
- Health-related tasks
- Instrumental activities of daily living, such as shopping, cooking, laundry and assistance with medications
- Observation and redirection of behavior.
How are CFSS and PCA different?
People who use CFSS will have more options and supports:
- Unlike PCA, in CFSS a person’s spouse or the parent of a minor may serve as that person’s support worker.
- People may choose to purchase goods to aid in their independence.
- The CFSS budget model allows people to choose to be the employer of their support workers.
- The state provides a budget that the provider agency or the person may use to train workers on the individual needs of the person.
- The consultation services provider will provide education and support in writing the person’s plan.
What are the delivery models for CFSS?
CFSS will have two service delivery models, the agency provider model and the budget model. In both models, the person:
- Directs care
- Has a say in selecting his/her worker, including the person’s spouse or the parent of a minor
- Writes the plan with assistance from the consultation services provider as desired
- May purchase goods.
In the agency provider model, the person selects an agency that serves as the workers’ employer. This means the agencies will recruit, hire, train, supervise and pay CFSS support workers.
In the budget model, CFSS participants are the employers of their own support workers. They will have a budget rather than service units. Participants will recruit, hire, train and supervise their support workers. The person will select a financial management services (FMS) provider to help the person comply with applicable laws.