Support for agencies moving from PCA to CFSS
Minnesota is replacing Personal Care Assistance (PCA) with Community First Services and Supports (CFSS). The change affects enrollment, staffing, documentation, and billing. We help agencies understand what is new and get their operations ready.
As of July 2026, DHS has paused new Medicaid provider enrollment for several higher-risk services, including CFSS, adult day services, ARMHS, IRTS, EIDBI, and integrated community supports, while it revalidates existing providers. Exceptions are possible and the pause may change. We help existing providers complete revalidation and stay compliant, and we help new agencies plan around the pause.
What's included
Transition plan
A clear checklist of what your agency needs to change, in the order it needs to happen.
Enrollment guidance
Help with the steps to enroll and operate as a CFSS agency.
Policies and forms
Updated policies, procedures, and documentation that reflect CFSS requirements.
Worker training
Training plans and tracking so support workers meet CFSS training expectations.
Documentation review
Making sure time records and service documentation support what you bill.
Billing support
Help setting up CFSS billing and fixing claim problems.
Getting started is simple
Discovery call
A free conversation about your agency, your services, and where you need help.
Your plan
We recommend the right support, with clear priorities and a timeline.
Ongoing support
We do the work alongside your team and check in so you stay on track.
Frequently asked questions
What is CFSS?
Community First Services and Supports is the Minnesota program replacing PCA. It offers more flexibility for people receiving services and brings new requirements for the agencies that provide them.
We were a PCA agency. What changes for us?
Expect changes to enrollment, worker training, documentation, and billing. We review your current setup and give you a clear list of what to update.
Where can I find the official CFSS requirements?
The Minnesota Department of Human Services publishes CFSS requirements and provider updates. We help you understand and apply them to your agency.
More ways we can help
Let's talk about your agency
Book a free discovery call. We'll learn where you need help and recommend the right next step. No pressure.