CFSS Transition in Minnesota
Proposed New Self-Directed Service to Replace PCA Choice and the Consumer Support Grant
Mon.-Thurs. | 8am to 4:30pm
Fri. | 8am to 4pm
Community First Services and Supports (CFSS) is a new self-directed option being developed by the state of Minnesota, offering those who need home services more choice, control and flexibility with their services and supports required to live and work in their community.
Accra will provide all services under the CFSS models, so current Accra clients may rest assured that you can continue working with Accra and your current caregiver.
If you have additional questions after reading through the following information, we are here for you. Please use the form at the bottom of this page or call us at 866-935-3515.
CFSS, when implemented, is intended to replace the current Personal Care Assistance (PCA) program and the state-funded Consumer Support Grant (CSG) benefit. You can learn more about it here, at the Minnesota Department of Human Services (DHS) website. Note that this program is still under development and requires federal approval. No action is needed by clients at this time.
Once it is time for current clients to transfer homecare services to CFSS, you must choose a consultation services provider. This provider will help you identify which delivery model best meets your needs. Accra will be a consultation provider. However, if you select Accra as your consultation provider, you will not be able to choose Accra as your service provider under CFSS.
Similar to PCA services, CFSS will offer assistance with Activities of Daily Living (ADLs), Instrumental Activities of Daily Living (IADLs), and health-related tasks and back-up systems to assure continuity of services and supports based on assessed functional needs for people who require support to live in the community.
Unlike PCA services, CFSS will offer permissible services and supports related to an assessed need or goal in the person-centered service plan, which may include, but are not limited to:
CFSS will have two service delivery models, the agency provider model and the budget model. Accra will provide both models, so we can provide your CFSS homecare services regardless of which model you select.
In both models, you or your responsible party:
In the agency provider model, you will select a provider that serves as the caregiver’s employer. This means the agency will recruit, hire, train, supervise and pay CFSS support workers. DHS will use PCA agencies, including Accra, to deliver these services. Under the agency model, you will be able to keep your current, trusted caregiver.
In the budget model, you will employ your support workers and have a budget rather than service units. You will be responsible for the recruitment, hiring, training and supervision of your support workers. You will select a financial management services (FMS) provider, from a list including Accra, to help you comply with applicable laws.
Accra will offer both the agency model and the budget model so that we can serve our current and future clients under CFSS. Accra has experience as a PCA Choice provider and as an FMS provider, so we can continue to serve current clients when you transition to CFSS services and choose which model works best for you.
Additionally, Accra will offer consultation services, but remember, if you choose Accra as your consultation service provider, you must select another provider to deliver your services.
People who use CFSS will have more options and supports:
When the federal government approves CFSS and DHS provides more direction on a start date, Accra will post updates on our website and send out communications to our clients. The transition for all persons currently utilizing PCA and CSG services to CFSS is estimated to take 18-24 months, so your transition to CFSS may not be for a year or more after the CFSS program begins.
Watch the Minnesota Department of Human Services video to learn more.
In the meantime, Accra is here to answer all your questions. Please call us at 866-935-3515 if you want to talk to someone about this change.
(Current as of February 2023)