Why is DHS Changing from PCA to CFSS?

The transition from Personal Care Assistance (PCA) to the new Community First Services and Supports (CFSS) program marks a significant shift in Minnesota’s approach to caregiving. This change, which the Minnesota Department of Human Services (DHS) is rolling out, aims to provide individuals with greater autonomy and flexibility in managing their care.

The short answer to the question, “Why is DHS changing to CFSS?” is that the Affordable Care Act has allowed DHS to implement changes to its care programs that will give people more choices and better control over how they use their services.

Which Previous Program did CFSS Replace?

In early 2024, the federal government approved replacing Personal Care Assistance (PCA) services with CFSS. This program seeks to enhance the quality of care by broadening service delivery options, offering more self-direction, and providing additional support for individuals managing their care plans.

Unlike PCA, CFSS allows for a broader selection of who can provide services, including family members like spouses and parents of minors, who can now get compensated for their caregiving efforts.

Key Changes and Advantages of CFSS

As the DHS CFSS rolls out, individuals previously receiving PCA services will transition to the new program, most likely maintaining their eligibility status. While PCA does not include consultation services, CFSS provides consultation providers who ensure that individuals understand program intricacies and aid in developing comprehensive service plans.

One advantage of CFSS is the introduction of a budget model. This model empowers individuals to take control of employment-related tasks, supported by Financial Management Services (FMS) providers.

As part of the CFSS framework, individuals can purchase necessary goods and services, such as grabbing tools or laundry services, promoting independence and reducing reliance on human assistance.

Transition and Implementation Strategies

The transition from PCA to CFSS is being implemented in phases to ensure smooth adaptation. DHS completed the transition phase (phase 1) throughout 2024 and began phase 2 on October 1, 2024.

This second phase will last about 15 months. At the time of a care recipient’s assessment, they will transition from PCA to CFSS. According to DHS, people receiving services will:

• Select a consultation services provider.
• Select a model.
• Select a provider agency and/or FMS provider.
• Write their service delivery plan and submit it for approval.
• Oversee their services (budget model) or work with their provider agency to oversee their services (agency model).

Phase three will be the official discontinuation of PCA services, as all eligible Minnesotans will have transitioned successfully to CFSS. This careful planning reflects the commitment of DHS MN to transform service delivery effectively while minimizing disruption. Agencies like Best Care are poised to offer both agency model and budget model support, making the transition for current and future clients as fluid as possible.

CFSS Represents a Commitment to Quality Care

This CFSS transition is a shift not just in logistics, but in philosophy. We at Best Care are excited about this big step forward in recognizing the diverse needs of individuals requiring assistance. We are confident that CFSS will enhance both the quality of service and the quality of life for participants.

At Best Care, we are dedicated to guiding you through this transition with compassion and expertise. If you have any questions about family caregiving or need assistance during this transition from PCA to CFSS, contact our team.