Frequently asked questions

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Questions about CFSS

What is CFSS?

Community First Service and Supports (CFSS) is a new homecare program for Medicaid enrollees. It is replacing the Personal Choice Assistance (PCA) and the Consumer Support Grant (CSG) program. 

The MN Department of Human Services designed the CFSS program to offer people more choice, control, and flexibility with the services and supports needed to live and work in the community.

Who can answer my questions about my CFSS?

All CFSS participants must select a consultation provider, such as Asura. Your Asura advisor will answer questions about the CFSS program and help you decide which service model best meets your needs. (612) 416-2291

What kind of services can I get through CFSS?

CFSS provides assistance with activities like:

  • Eating, bathing, grooming, and transferring (ADLs- Activities of Daily Living)
  • Shopping, meals, and household tasks (IADLs- Instrumental Activities of Daily Living)
  • Health-related activities like exercises and managing medications
  • Observation and redirection of behaviors
  • Acquiring independence skills
  • Ensuring continuity of services
What are the service options under CFSS?
Under CFSS, people select one of two service options: the budget model or the agency provider model. Both models allow you to self-direct your services and purchase homecare goods. Your Asura advisor will help you choose which option is best for you.
  • Budget model 
    In the budget model, you employ your caregivers and pay them from a pre-set budget. You will be responsible for recruiting, hiring, training and supervising your caregivers and setting their hourly wage. You select a financial management service (FMS) provider to help you manage your budget and comply with all applicable laws.
  • Agency provider model
    In the agency model, you select a homecare agency to serve as your caregiver’s employer. This means the agency will recruit, hire, train, supervise, and pay your caregiver. The agency will also determine the hourly wage of your caregiver.
When will CFSS begin?

CFSS will begin October 1st, 2024. After that date, new participants will begin using CFSS immediately, and people currently using PCA and CSG services will transition to CFSS when their annual service agreement is renewed. 

Under CFSS, can a parent or spouse be a homecare provider for a family member?

Yes.  

May I purchase goods and services that support my independence through CFSS?

Yes. You may purchase goods and services in both the Agency and Budget models. 

May I choose to buy a Personal Emergency Response System (PERS) to provide backup support?

Yes 

If I currently receive CFSS services, may I serve as the caregiver for another person who uses CFSS?

Yes

Why do I need to speak with Asura?

Asura Homecare Advisors are CFSS consultation providers. Consultation services are required to educate people about CFSS and, the different service models; assists with writing service delivery plans; reviewing service plans; and providing ongoing support.  

What do I need to do to enroll in CFSS?

Participants must transition at their yearly reassessment to ensure no disruption of services 

How can I stay current with the latest information? 

Contact us at (612) 416-2291

Questions about transitioning from PCA/CSG to CFSS

Under CFSS, may I continue to use my current caregiver?

Yes, you will be able to continue working with the caregiver you know and trust. 

Will the change to CFSS affect my current approved service hours?

No. The switch to CFSS will not impact your approved hours.  

Can I refer Asura Homecare Advisors to a friend, family, or community member?

Yes, you can refer anyone who receives CFSS services to Asura simply by having them call (612) 416-2291 to speak with one of our expert homecare advisors.

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