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For direct care workers, the PCA/CFSS training that we released in April 2020 fulfills training requirements for both PCA and CFSS. If this question is referring to lead agency training, CFSS policy staff will provide additional information about what lead agencies need to know for CFSS closer to the CFSS implementation date.

Currently, there are two videos on the DHS CFSS page for people we serve that explain CFSS. We encourage lead agencies to share this information with people who currently receive PCA. We will create a communication plan with specific information about when families will get more information from DHS.

Yes, a person enrolled in an MCO for seniors will have to choose a CFSS agency that is contracted with their MCO.

In PCA, a qualified professional (QP) supervises PCA workers. The qualifications for a QP are set in PCA statutes. It is only necessary for the QP to be a registered nurse (RN)when a person needs a worker to do health-related tasks that require RN supervision. In CFSS, the employer completes worker training and development tasks. The agency is the employer in the agency model, and the person is the employer in the budget model. In the agency model, the agency is required to have an appropriate, qualified employee to complete the required training and development tasks. This employee could be an RN. In the budget model, the person is responsible for the supervision and training of their workers related to all tasks including health-related tasks. The consultation services provider will ask the person to report what tasks they completed, and they will provide technical assistance when needed.

After a person on a waiver meets with their consultation services provider to develop their CFSS individual service delivery plan, the consultation services provider sends the plan to the case manager. At that time, the case manager and the person discuss what other support options the person needs. The case manager enters the service authorization with all CFSS information and all other waiver services, including extended CFSS. Page 9 of 10 Distributed January 2021 DHS does not expect the waiver case manager to communicate information about waiver services, including extended CFSS, to the consultation services provider. Like PCA, extended CFSS is not available in alternative care.

If a person chooses the agency model and they have a good listed in their plan, they will use both a CFSS agency provider and an FMS provider. The agency will provide the direct care components, and the FMS provider will only support the purchase of the goods.

Yes, all CFSS workers will need background study. This includes workers for both the budget model and the agency model. DHS will provide more specific information about service agreement entry closer to the CFSS implementation date.

The budget is calculated by multiplying the unit rate by the number of units for which the person is eligible. DHS intends to have a document that shows the budget amount associated with the home care ratings.

The eligibility process will not change. The assessment will determine the person’s home care/CFSS rating and the units or hours per day for which they are eligible. In the CFSS agency model, the service authorization will be issued in units according to the person’s assessment. The service will be authorized in one annual line. There will be exceptions to authorizing services in one line such as, but not limited to, changing providers. In the CFSS budget model, the service authorization will be issued in dollars, which is the unit rate multiplied by the number of units for which the person is eligible. In both models, as in PCA now, the person can use units or the budget flexibly for services, and they are not limited to a specific number of hours per day.

We are in the process of developing guidelines and policy that provide direction to the lead agency (if applicable), FMS provider and consultation services provider when a person on the budget model is not fulfilling their employer duties.

In CFSS, goods must meet an assessed need, increase independence, decrease human assistance and be approved in the person’s CFSS individual service delivery plan. Equipment and supply items covered by Medicaid, Medicare or private insurance will not be covered by a waiver or AC as specialized equipment and supplies, nor will they be covered by CFSS. The specialized equipment and supplies option through the waiver and AC has a broader definition. We realize there could be some overlap between CFSS goods and specialized equipment and supplies option. We are having internal policy discussions with waiver policy staff to develop additional guidance.

If a person receives only state plan CFSS services, the assessor will determine the person’s CFSS eligibility, and the consultation services provider will approve the CFSS individual service delivery plan. The assessor will enter the service authorization based on the plan approved by the consultation services provider. The assessor has no added responsibilities for reviewing the plan. The assessor should treat the CFSS individual service delivery plan like a PCA plan and enter it into MMIS based on what the consultation service provider approved.

CSG is a state-funded program and only uses state funds or 50% of what PCA is funded at. CFSS is a federally funded program. When CFSS is operational, people who transition to CFSS will get the full benefit of the federal and state financial participation (i.e., 50% federal dollars and 50% state dollars).

CFSS will work the same as it does now when a person receives a combination of PCA services and HCN services. The HCN monthly budget limit and unit limit will still apply.

At this time, like PCA, assessors are not expected to complete the LTSS improvement tool for state-plan-only CFSS.

At this time, like PCA, state-plan-only CFSS is not included as part of the lead agency review process.

Yes, the lead agency will add consultation services to the person’s service agreement.

For type B service agreements, DHS plans changes in CFSS throughout the year to work very similar to what happens now in PCA (i.e., faxes come to the Resource Center to update the service agreement) if a person or provider changes something. We are still working on the details of who submits the change request form to the resource center, either the consultation service provider, FMS or CFSS agency.

We assume this question is about the lead agency’s ability to make changes to a type B service agreement after the service agreement has been entered and approved. Page 6 of 10 Distributed January 2021 If a person receives only state plan CFSS services, the person’s service agreement will still be a type B service agreement. The lead agency will enter the service agreement, just like in PCA. However, DHS is making a change to the process for CFSS to allow the lead agency to edit the service agreement for a longer period of time after consultation services have been approved. DHS plans for type B service agreement changes to work very similarly to what happens now in PCA. If a person changes something in PCA or CFSS, a fax is sent to the Resource Center and the Resource Center will update the service agreement.

The duties of an assessor will not change as we transition to CFSS. Assessors will still be required to fulfill their duties in either MnCHOICES or the legacy assessment, as they do in PCA (e.g., CSP and CSSP responsibilities). CFSS will follow the same requirements as PCA. Our goal is to follow a similar process to what happens now in PCA (i.e., faxing a request to the Resource Center to update the service agreement) if a person makes a change. We will provide more finalized and detailed information in future trainings.

The lead agency is responsible to authorize CFSS in MMIS. The lead agency will enter the authorization/lines based on the information in the CFSS individual service delivery plan. The lines include: • Consultation services • CFSS services (CFSS agency or FMS provider) • Worker training and development Goods, if applicable. The consultation services provider will send the CFSS individual service delivery plan to the lead agency to enter the details of the plan into MMIS.

It depends on the person’s situation: • If the person receives only state plan CFSS services, the lead agency has no responsibility to answer questions after the assessment is complete and the service authorization is entered, just like in PCA. Page 5 of 10 Distributed January 2021. If the person is on a waiver or AC: o The case manager is still responsible for case management type issues and questions. The case manager should refer the person to the consultation services provider for questions specifically about CFSS (e.g., model difference, process to hire a worker, etc.) The consultation services provider should refer waiver/AC questions to the person’s waiver/AC case manager.

It depends on the person’s situation: • If the person receives only state plan CFSS services, the consultation services provider is responsible to approve or deny parts of the plan or the entire plan, issue the notice of action and participate in the appeal. • If the person is on a waiver, AC or in an MCO for seniors, the case manager or care coordinator is responsible to approve or deny parts of the plan or the entire plan, issue the notice of action and participate in the appeal.

No, the assessor is not responsible for reviewing or approve a person’s CFSS individual service delivery plan. The role of the assessor will not change as we transition to CFSS. If the person receives only state plan CFSS services, the consultation services provider is responsible to review and approve the plan within the scope and rules of CFSS. Then, the lead agency will enter the CFSS service authorization into MMIS following the approval of the plan.

We recognize the addition of consultation services could potentially extend the time it takes for the person to get started with CFSS services. As we transition to CFSS, a person’s PCA services will continue while they wait to start CFSS services to ensure continuity of care. We will continue to have internal discussions about this topic as lead agencies provide us with feedback.

There will not be a 5% administrative fee for CFSS. As is the case for PCA now, the lead agency will be paid for work related to assessment and authorization/service agreement entry through the time study process.

No, there will not be changes to the legacy assessment process. However, there will be changes to the data entry process for CFSS services. The lead agency will do the initial MMIS authorization/data entry for consultation services. When the completed CFSS individual service delivery plan comes back to the lead agency from the consultation services provider, the lead agency will need to do additional MMIS authorization/data entry to reflect the finalized plan. Additional MMIS authorization/data entry may include entering goods, CFSS agency provider or FMS provider.

The current duties of an assessor will not change as we transition to CFSS, depending on the person’s situation: • If the person receives only state plan CFSS services, the assessor will write both the community support plan (CSP) and coordinated services and supports plan (CSSP) • If the person is on a waiver or AC, the assessor will write the CSP and the case manager will write the CSSP.

It depends on the person’s situation: • If the person receives only state plan CFSS services, the consultation services provider is responsible to approve the person’s CFSS individual service delivery plan • If the person is on a waiver, AC or has a care coordinator through an MCO for seniors, the consultation services provider is responsible to get the person’s CFSS individual service delivery plan in order for the case manager or care coordinator to review. The case manager or care coordinator is responsible to review the plan to ensure Page 3 of 10 Distributed January 2021 o There is no duplication of services o The person’s health and safety needs are addressed Any required coordination with the person’s other services are addressed.

As long as an entity meets enrollment criteria, they can enroll as both a CFSS consultation services provider and CFSS agency provider. While one entity can enroll and provide both of these services, CFSS policy does not allow them to provide both services to the same person. The consultation services provider must be a neutral party in the person’s choice between the agency and budget models, as well as the person’s choice of providers.

Consultation services provide upfront information and ongoing support to people who are eligible for and choose to use CFSS. The responsibilities of consultation services providers are only within the scope of CFSS. They are not responsible to coordinate services within the larger social service system. We will further define consultation services in CFSS manual pages closer to the CFSS implementation date. Case management and care coordination for seniors is administered in multiple forms. If a person who currently receives waiver or AC case management starts receiving CFSS services, the person’s assigned case manager or care coordinator for seniors remains responsible for the specific duties of case management required for the person.

The agency is the employer in the agency model, and the person is the employer in the budget model. In the agency model, the agency is required to have an appropriate, qualified employee to complete the required training and development tasks.

The budget model, the person is responsible for the supervision and training of their workers related to all tasks including health-related tasks. The consultation services provider will ask the person to report what tasks they completed, and they will provide technical assistance when needed.

The agency is the employer in the agency model, and the person is the employer in the budget model. In the agency model, the agency is required to have an appropriate, qualified employee to complete the required training and development tasks.

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.

Consumer Directed Community Supports (CDCS) is a support option for both children and adults with disabilities and seniors who have an approved waiver or Alternative Care program.

Consumer Support Grant (CSG) to offer participants greater choice and control over their services.

Yes, program guidelines and resources are available to assist parents of minors and spouses in understanding their roles and responsibilities.

Parents of minors should consider their child's age and specific needs when deciding to become paid providers. This decision should be documented in the Community Support Plan.

The income earned may be subject to federal and state taxes, and it can affect the household's eligibility for public assistance programs and parental fees. Participants should consult with tax and financial experts for guidance.

Yes, there are additional monitoring requirements, including maintaining work schedule plans, periodic reviews by counties or health plans, and face-to-face visits with participants at least twice per plan year.

Yes, parents of minors and spouses must submit timesheets and any necessary documentation to the fiscal support entity (FSE) to receive reimbursement for the services provided.

Payment for parents of minors and spouses providing services is typically based on an hourly rate, which should not exceed the payments allowed by the Department of Human Services (DHS) for personal care attendant (PCA) services.

Parents of minors and spouses can be paid for personal assistance services that go beyond routine household tasks, as these services are typically not covered. The specific tasks should be documented in the Community Support Plan.

Spouses must meet the qualifications outlined in the Community Support Plan, and the services provided must address at least one assessed need identified during the Long-Term Care Consultation Screening or DD Screening, depending on the program.

Parents of minors and spouses can provide services for up to 40 hours per week in total, regardless of whether both parents are involved in caregiving.

Yes, parents of minors and spouses may be eligible to receive compensation for providing services and supports that go beyond typical caregiving responsibilities.

Non-compliance with tax regulations can result in penalties and legal consequences. Participants should prioritize tax compliance to avoid such issues.

Participants should maintain accurate records, consult with tax professionals, and work closely with their FMS provider to ensure compliance with tax regulations.

Yes, FMS providers like RedOne Fiscal Agent can often provide guidance and support to participants on tax-related matters, including payroll taxes and reporting.

Participants should work closely with their FMS provider and support planners to align payments with their support plans and budget goals, ensuring that services and supports are delivered as intended.

Yes, participants can often access payment records and financial reports provided by their FMS provider. These records help participants monitor budget usage and ensure transparency in financial management.

FMS providers process payments to support workers for services provided to participants. These payments may include wages, taxes, and other related expenses.

Participants should choose an authorized and reputable FMS provider, like RedOne Fiscal Agent, to ensure compliance with tax and labor regulations. Regular communication with the provider and reviewing financial records can also help ensure compliance.

Yes, participants can usually access financial records and reports from their FMS provider, which helps them track budget spending and ensure transparency in financial management.

FMS providers are primarily responsible for financial management tasks. While they may offer some guidance, decisions about service selection and support planning are typically made in collaboration with case managers or support coordinators.

The benefit of using an FMS provider is that they handle the complex financial and administrative aspects of managing CFSS and CDCS budgets, allowing participants to focus on receiving the services and support’s they need to maintain their independence.

Participants can usually contact their FMS provider through various communication channels, including phone, email, and social media. Specific contact information for the chosen provider should be provided during the enrollment process.

FMS providers are typically authorized to offer specific services as outlined in the funding program's guidelines. These services often include payroll processing, tax compliance, workers' compensation, and administrative support.

FMS providers typically handle administrative tasks such as processing support worker Background checks for potential caregivers, assist you in enrolling that caregiver, managing their payroll, Withholding the necessary state and federal taxes, and ensuring they are covered by workers' compensation insurance payments, managing tax-related responsibilities, ensuring compliance with state and federal regulations, and providing necessary documentation for audits.

Participants often have the choice to select their preferred FMS provider from a list of authorized providers. The selection process may vary depending on the program and state regulations.

FMS providers like RedOne assist participants by processing Background checks for potential caregivers, assist you in enrolling that caregiver, managing their payroll, Withholding the necessary state and federal taxes, and ensuring they are covered by workers' compensation insurance

FMS refers to the services provided by a fiscal support entity (FSE) or fiscal intermediary to help individuals manage the financial aspects of their CFSS or CDCS budgets, including payroll, tax compliance, and reporting.

Your budget is typically reviewed and adjusted at least annually during a reassessment of your needs. However, it can be reviewed more frequently if significant changes occur in your circumstances.

Yes, part of your budget can be allocated for emergency backup services, ensuring that you have a plan in place for unexpected situations when your regular support workers are unavailable.

While there may be guidelines and restrictions on how budget funds can be used, they are generally intended to cover services and support outlined in your support plan. Be sure to consult with your case manager or program administrator to understand any specific limitations.

Yes, your budget can often cover the cost of hiring and managing support workers, including personal care attendants, as long as it aligns with your assessed needs and support plan.

If you exceed your budget or run out of funds, it's essential to discuss this with your case manager or program administrator. They can help you explore options and make necessary adjustments to ensure you receive the necessary services and support.

Yes, if your needs change significantly, you can request a budget increase. This typically involves a reassessment of your needs, and if approved, your budget may be adjusted accordingly.

You can usually track your budget spending and remaining funds through regular statements or reports provided by your fiscal support entity (FSE) or program administrator. They can help you stay informed about your budget utilization.

Your budget is primarily intended for services and support. However, some programs may allow you to use a portion of your budget for purchasing goods or items that support your independence. Check with your program administrator or case manager for specific guidelines.

Your budget is intended to cover the cost of services and support that help you meet your assessed needs and goals. It can be used to pay for various services, including personal assistance, health-related tasks, and other supports outlined in your support plan.

Your budget may change over time, typically after an annual reassessment of your needs. If your needs change significantly, your budget may be adjusted accordingly.

Your budget is typically determined based on a state-set budget and a thorough assessment of your needs. Your county case manager, tribal entity, or health plan representative can provide you with information about your specific budget amount.

In the context of CFSS (Community First Services and Supports) and CDCS (Consumer Directed Community Supports), a budget refers to the allocated amount of funds that an individual receives to cover the cost of services and support tailored to their needs.

Technology can support the implementation of support plans by facilitating communication, electronic visit verification (EVV), and data tracking. It can help ensure that services are provided as specified in the plan.

To request changes to a support plan, individuals can discuss their preferences and needs with their case manager or support coordinator. They can also provide written requests or updates.

No, support plans are highly individualized and vary based on the unique needs and goals of each person receiving services. They are tailored to the individual's specific circumstances and preferences.

A Community Support Plan (CSP) is a summary of findings from an assessment and outlines actions to be taken according to the individual's requirements. A Coordinated Services and Supports Plan (CSSP) details the individual's choice of supports and services and how they prefer to receive them.

Yes, family members or caregivers can be involved in the support planning process if the individual wishes and if it aligns with their preferences. Family input can be valuable in creating a holistic support plan

Support plans are designed to prioritize an individual's choices, preferences, and capabilities. They provide a framework for delivering services that align with the person's goals and values.

Yes, individuals have the right to participate in the development and modification of their support plan. They can request changes to the plan when their needs or preferences change.

Case managers or support coordinators work closely with individuals to assess their needs, develop the support plan, and ensure that the plan is implemented effectively. They also monitor the plan's progress and adjust as needed.

Yes, support plans are highly individualized and tailored to the unique needs and preferences of the person receiving services. They are person-centered and focus on promoting individual choice and independence.

A support plan includes details such as the types of authorized services and support, the qualifications and training requirements for support workers, the frequency of services, emergency backup plans, and monitoring procedures.

The primary purpose of a support plan is to provide a roadmap for delivering services and support that help individuals achieve their goals, maintain their well-being, and enhance their quality of life while considering their preferences and choices.

Creating a support plan typically involves the individual receiving services, their case manager or support coordinator, and sometimes family members or caregivers. The specific team may vary depending on the program or service.

A support plan is a documented strategy developed in collaboration with an individual or participant to outline their objectives and the means to achieve them. It specifies the quantity, kind, and duration of authorized goods and services tailored to the individual's unique needs, preferences, and capabilities.

The role of a support planner includes assessing an individual's needs, collaborating with them to create a support plan, connecting them with appropriate services and resources, and providing ongoing support and guidance.

A support planner is a professional who assists individuals in developing and implementing personalized support plans to address their unique needs, preferences, and goals.

The role of a case manager includes assessing an individual's needs, developing a care plan, coordinating services, advocating for the individual, monitoring progress, and ensuring that services are delivered effectively.

A case manager is a professional who assists individuals in accessing and coordinating various services and resources to meet their specific needs. They often work in healthcare, social services, or related fields.

Quality is typically ensured through training and oversight. Caregivers may need to meet certain qualifications, and there may be monitoring and reporting requirements to ensure the safety and well-being of participants.

In traditional care models, the service provider determines the type and timing of care. In self-directed care, the individual receiving services has more control and can make decisions about their care plan.

Some benefits of self-directed care include increased independence, the ability to choose caregivers, flexibility in service delivery, and the opportunity to tailor services to individual needs and preferences.

Self-directed care is an approach that empowers individuals to make decisions about their own care and support services. It allows them to choose the services they receive, who provides them, and when and how they are delivered.

Eligibility for self-directed care programs often depends on the specific program and the individual's needs. It is commonly available to those with disabilities, seniors, or individuals with chronic conditions who require assistance with daily living tasks.

Participants and caregivers should promptly report any discrepancies or concerns to RedOne Fiscal Agent. The agency will investigate and address any issues to ensure accurate record-keeping.

Participants and caregivers may have access to EVV data through a secure online portal provided by RedOne Fiscal Agent. This data can be used for tracking caregiver hours and verifying services.

Yes, participants and caregivers can report any issues or discrepancies related to EVV to RedOne Fiscal Agent's support or customer service team for resolution.

Yes, RedOne Fiscal Agent typically offers training and support to participants and caregivers to ensure they can effectively use the EVV system.

The benefits include accurate recording of caregiver hours, improved transparency in billing, reduced risk of fraud, and streamlined payroll processing.

Yes, in many cases, the use of EVV is mandatory as part of program requirements and regulations. RedOne Fiscal Agent helps participants and caregivers comply with these regulations.

RedOne Fiscal Agent typically provides participants and their caregivers with tools or systems to electronically log caregiver visits, which may include time stamps, GPS tracking, and other verification methods.

EVV helps ensure compliance with regulations by accurately recording the time spent by caregivers providing care to participants. It also adds transparency to the billing process.

EVV is a technology solution used to electronically record and verify caregiver visits when providing care to program participants. RedOne Fiscal Agent utilizes EVV to ensure accurate tracking of caregiver hours.

Yes, maintaining accurate records is essential for compliance and documentation purposes. RedOne Fiscal Agent as your FMS provider can guide you on record-keeping.

Timely reporting is crucial, RedOne Fiscal Agent as your FMS provider will specify the reporting schedule, but typically it's done regularly, such as bi-weekly or monthly.

Yes, you are responsible for paying your support workers. Wages can be processed through RedOne Fiscal Agent as your FMS provider.

You have the authority to hire, direct, manage, and if necessary, discharge support workers. Follow program guidelines for such changes.

RedOne Fiscal Agent helps with payroll, taxes, benefits, and other financial tasks for support workers. They ensure compliance with regulations, allowing participants to focus on managing their services independently.

FMS providers should not limit or restrict participants' choices of service or support providers. They also should not help develop the CDCS Community Support Plan.

Yes, participants can select a financial management services provider, and RedOne is one of the available choices in Minnesota.

RedOne Fiscal Agent provides payroll processing, tax-related services, vendor payments, and administrative functions as authorized by funding programs. They assist participants in managing financial aspects of self-directed services Background checks for potential caregivers, assist you in enrolling that caregiver, managing their payroll, Withholding the necessary state and federal taxes, and ensuring they are covered by workers' compensation insurance

Yes, parents of minors and spouses can be paid for providing services. There are limitations on the number of hours they can work, and eligibility is determined based on assessed needs.

CDCS participants are responsible for developing and following their Community Support Plan, managing support workers, maintaining eligibility, arranging services, and ensuring the qualifications of their support workers. They can choose to manage employer-related tasks themselves or seek assistance.

Eligibility for CDCS includes individuals enrolled in programs like Alternative Care (AC), CAC Waiver, Elderly Waiver (EW), Traumatic Brain Injury (TBI) Waiver, and others. If you're not enrolled in these programs, alternative options may be available.

CDCS is a program that empowers individuals receiving waiver or Alternative Care services in Minnesota to direct their own services and supports. Participants can choose, manage, and even hire their support workers, gaining more control over their care.

Yes, CFSS allows spouses and parents of minors to provide services. However, there are restrictions on the number of hours they can work and specific qualifications they must meet.

CFSS covers a range of services, including activities of daily living, health-related tasks, instrumental activities of daily living, and observation and redirection of behavior. It aims to support individuals in maintaining their independence while receiving necessary assistance.

Eligibility for CFSS includes individuals enrolled in specific waiver programs, such as Alternative Care (AC), Community Alternative Care (CAC) Waiver, Developmental Disabilities (DD) Waiver, and others. To determine eligibility, contact your county case manager or health plan representative.

CFSS is a Minnesota health care program designed to provide flexible, self-directed home and community-based services. It replaces programs like Personal Care Assistance (PCA) and the.

You should address any concerns or issues with your support worker directly. If issues persist, you can also seek guidance and support from RedOne Fiscal Agent

The process for selecting RedOne Fiscal Agent typically involves contacting them directly or through your CFSS program administrator. They can guide you through the steps to get started.

RedOne Fiscal Agent is equipped to manage payroll and financial matters for multiple support workers, each with their own schedules and responsibilities.

or RedOne Fiscal Agent other CFSS resources may offer training and support to help you navigate the transition to self-direction effectively.

Qualifications may vary based on your specific needs. RedOne Fiscal Agent can provide guidance on hiring criteria and skills that are essential for your support workers.

The budget model provides greater autonomy in selecting and managing your support workers. RedOne Fiscal Agent streamlines administrative tasks, so you can focus on direct involvement.

If your needs change, you should contact RedOne Fiscal Agent and the CFSS program administrator to discuss any necessary adjustments or discontinuation of services.

RedOne Fiscal Agent can guide you through the hiring process. They can also provide resources and support to help you recruit and select suitable support workers.

RedOne Fiscal Agent is experienced in managing these aspects and will ensure compliance with all relevant regulations. They will work closely with you to ensure accurate and timely processing.

Yes, RedOne Fiscal Agent, like other FMS providers, has specific documentation and reporting requirements. This includes keeping records of timesheets, receipts, invoices, and payroll summaries for a minimum of five years and providing various reports to both the participant and the lead agency.

Participants can purchase goods to support their independence. RedOne Fiscal Agent helps facilitate these purchases. They ensure that the financial aspects of acquiring these goods are managed effectively.

Both the budget model and the agency provider model allow for the inclusion of a family member as your support worker, which is different from the previous PCA system.

Yes, participants in the budget model can actively participate in recruiting, hiring, training, supervising, Background checks for potential caregivers, and scheduling their support workers.

RedOne Fiscal Agent specializes in supporting participants who choose the budget model. They handle administrative tasks such as Background checks for potential caregivers, payroll, taxes, and benefits for the support worker hired by the participant.

CFSS offers the budget model and the agency provider model. The budget model allows participants more control over hiring and managing their support workers, while the agency provider model involves selecting a provider agency to handle staffing needs.

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Will staff preparation and training change, or will it remain similar to the current one?

How will DHS notify families about these changes? When will the notification happen?

When a person is enrolled in an MCO for seniors and using the agency model, will they have to work with a CFSS agency provider enrolled in that MCO?

Will nurse supervision (i.e., qualified professional supervision) still happen in CFSS, or does consultation services take its place?

What if a person on a waiver needs extended CFSS?How is this need communicated to the consultation services provider?

Do people on the agency model only choose an FMS provider when a good is in their approved plan?

Do workers need background checks if they provide services to a person using the budget model? Will there be a separate line item for those costs?

How are budgets calculated?

How will the CFSS assessment reflect service level for both agency and budget model? Does the assessment determine hours per day, like in PCA? If someone chooses the budget model, are they limited to that number of hours per day?

When a person is not fulfilling their employer duties, will there be criteria for switching them from the budget model to the agency model?

For people on a waiver, what will be the lines between items covered by Medicaid, items covered by CFSS, and items covered by the waiver?

Will CFSS budgets be higher than current CSG budgets?

How does CFSS work for people who also receive home care nursing (HCN)?

Will the MnCHOICES assessor have to complete the LTSS Improvement Tool?

Will the Lead Agency Review Team use the same person-centered plan audit criteria for people’s CSPs/CSSPsfor a waiver lead agency review?

Are consultation services providers added to the service agreement? If not, how are they paid?

Will lead agencies still enter CFSS service agreements as type B service agreement, or will they change them to a waiver service agreement type model that doesn’t require DHS approval?

Will assessors become “CFSS case managers,” authorizing goods and updating CSSPs throughout the year like a waiver/AC case manager? If a person does not have a case manager, what is the assessor’s role?

Does the lead agency enter the lines for CFSS and training/supervision, FMS and budget for goods? How is the information reported back to lead agency (e.g., whether the person chooses agency or budget, the goods rate, the FMS provider)? Who is responsible for authorizing CFSS?

After the assessment is completed and the person has started CFSS, should the lead agency refer all questions to the person’s consultation services provider?

Will the lead agency or the consultation services provider issue the notice of action for denial of CFSS individual service delivery plan content, goods, etc.? Who is responsible for the appeal?

Will the addition of consultation services slow down the assessment process?

Will lead agencies be paid for support time, similar to the 5% administrative fee that is billable in CSG?

Is there a difference in the CFSS legacy assessment process for lead agencies?

Assessor and case manager duties for assessment and service agreement entry in CFSS Will the MnCHOICES assessor be responsible to write the person’s support plan for CFSS?

Who is responsible to approve CFSS plans, the lead agency or the consultation services provider?

Can current PCA agencies offer both CFSS consultation services and CFSS agency services? Can the consultation services provider be employed by the agency? Is there going to be monitoring in place to address conflict of interest?

How are consultation services different from case management services?

How is a Persons eligibility for PCA and CFSS determined?

What is the Employer Budget Model.

What is Employer Agency Model.

What is Community First Services and Supports (CFSS)

What is CDCS in MN?

What is Consumer Support Grant (CSG)

Are there guidelines or resources available to help parents of minors and spouses understand their roles and responsibilities as paid providers in CFSS and CDCS programs?

What should parents of minors consider when deciding to be paid providers for their child in CFSS and CDCS programs?

How does the income earned by parents of minors or spouses for providing services affect their taxes and public assistance eligibility?

Are there any additional monitoring requirements for parents of minors and spouses in CFSS and CDCS programs?

Is there a requirement to document the hours worked by parents of minors and spouses in CFSS and CDCS programs?

How is payment calculated for parents of minors and spouses in CFSS and CDCS programs?

Are there specific tasks that parents of minors and spouses can be paid for in CFSS and CDCS programs?

What assessment is required for spouses to provide services to their spouse in CFSS and CDCS programs?

How many hours per week can parents of minors or spouses provide services in CFSS and CDCS programs?

Can parents of minors or spouses be paid for providing services and supports in CFSS and CDCS programs?

What happens if participants fail to comply with tax regulations in CFSS and CDCS?

How can participants ensure that they are in compliance with all tax regulations in CFSS and CDCS?

Can participants receive guidance from their FMS provider on tax-related matters in CFSS and CDCS?

How can participants ensure that their payments align with their support plans and budget goals?

Can participants access payment records and financial reports to track their budget spending?

What types of payments are typically processed by an FMS provider in CFSS and CDCS?

How can participants ensure that their FMS provider complies with all necessary tax and labor regulations?

Can participants access financial records and reports from their FMS provider?

Are FMS providers responsible for helping participants make decisions about service selection and support planning?

What is the benefit of using an FMS provider like RedOne Fiscal Agent in CFSS and CDCS programs?

How can participants contact their chosen FMS provider, such as RedOne Fiscal Agent?

Are there any restrictions on the services offered by an FMS provider in CFSS and CDCS programs?

What administrative tasks does an FMS provider handle for participants?

Do participants have the option to choose their FMS provider, or is it assigned to them?

How does an FMS provider like RedOne Fiscal Agent assist participants in CFSS and CDCS?

What are Financial Management Services (FMS) in CFSS and CDCS programs?

How often is my budget reviewed and adjusted?

Can my budget be used for emergency backup services?

Are there any restrictions on how I can use my budget funds?

Can my budget cover the cost of hiring and managing support workers, such as personal care attendants?

What happens if I exceed my budget or run out of funds before the end of the budget period?

Can I request a budget increase if my needs change significantly?

How can I track my budget spending and remaining funds?

Can I use my budget for things other than services and support?

What can I use my budget for?

Is my budget fixed, or can it change over time?

How is my budget determined for CFSS or CDCS?

What is a budget in the context of CFSS and CDCS?

What role does technology play in support plans and their implementation?

How can an individual request change to their support plan?

Are support plans the same for all individuals receiving services?

What is the difference between a Community Support Plan (CSP) and a Coordinated Services and Supports Plan (CSSP)?

Can an individual's family members or caregivers be involved in the support planning process?

How does a support plan ensure an individual's choices and preferences are respected?

Can an individual make changes to their support plan?

Can an individual make changes to their support plan?