Both CFSS and PCA programs allow participants to hire a caregiver. The PCA Program allows family members to provide care, but not spouses. Under CFSS, participants can choose to have their spouses provide care instead of hiring a family member. The services provided by CFSS and PCA are both entitlements, so participants can get them as long as they meet Medicaid eligibility requirements.

The Consumer Support Services (CFSS) program will replace the PCA program and state-funded Consumer Support Grant benefit. The program is currently in development and requires federal approval. CFSS will provide similar services to PCA, including health-related tasks, observation, and behavior. A person can receive both types of services, or neither. Beneficiaries of both programs can choose which option works best for them. Whether to choose one or the other depends on your circumstances and your health care needs.

The DHS has an interactive video on CFSS, so you can learn more about it. You can also learn about CFSS from Minnesota DHS' FAQ page. For more information, see their PCA/CFSS worker test and find out which one suits you best. If you're unsure about which option is best for your situation, consider hiring a CFSS worker. This can make all the difference in the world for your loved one.

When can CFSS services begin? The DHS is planning to implement the CFSS plan by April 1, 2014. However, the DHS's proposed implementation date cannot be met. Despite the fact that MnChoices, a computerized tool for evaluating an individual's abilities, limitations, and goals, will not be rolled out until June. The April 1 effective date means that persons with disabilities will be assessed using several tools until MnChoices is fully implemented.