WHAT IS CFSS?
Community First Services and Supports (CFSS) is Minnesota’s new, modernized program that replaces the traditional PCA program. CFSS gives you much more flexibility and control over your care. You can choose your own caregivers (including, in many cases, a spouse or parent), decide when services are delivered, and even manage your own budget if you prefer.
ARE YOU ELIGIBLE FOR CFSS?
You may qualify for CFSS if you:
Are a Minnesota resident
Have a medical or physical condition that requires assistance with daily tasks
Are eligible for Medical Assistance (MA) or certain waiver programs
Can self-direct or have a responsible representative to help (for Budget Model)
If you currently receive PCA services, you will automatically transition to CFSS during your next annual reassessment. Metro Home Health Care will guide you through every step.
KEY BENEFITS OF CFSS OVER PCA
Paid family caregivers
Spouse or parent of a minor child can now be paid caregivers (not allowed under PCA)
Choice of service model
Agency Model or Budget Model – You decide
Consultation Services
Free expert help to design your care plan
Assistive technology
Use your budget for grab bars, eating aids, etc.
More control over schedule
Hire and manage your own workers if you choose the Budget Model
WHAT CFSS COVERS
CFSS covers all the same services as PCA plus additional supports:
Activities of daily living
Bathing, dressing, grooming, toileting, eating
Instrumental activities of daily living
Meal prep, laundry, light housekeeping, shopping
Health-related tasks
Medication setup, blood glucose checks with training
Observation and redirection for behavioral needs
Assistive technology and supplies
Budget model only
CFSS SERVICE MODELS
EXPLAINED
AGENCY MODEL
Similar to traditional PCA
Metro Home Health Care handles all hiring, training, payroll, and supervision
Best for those who want less paperwork and administrative responsibility
You still get a dedicated case manager and consistent caregivers
BUDGET MODEL
New & More flexible
You receive a budget and have direct control over hiring, wages and scheduling
A Financial Management Services (FMS) provider handles payroll and taxes
Best for individuals who want maximum independence over their care
EXISTING
PCA CLIENTS
Your services will not be interrupted during the transition. Your case manager will contact you before your annual reassessment to explain your CFSS options, including the possibility of paying a family caregiver.