Once it is time for current clients to transfer homecare services to CFSS, you must choose a consultation services provider. This provider will help you identify which delivery model best meets your needs. Orion ISO will be a consultation provider. Under CFSS, the agency you select as your consultation provider cannot be the agency that provides your homecare services. This means you will have to choose two different agencies to coordinate your homecare services: the consultation provider and the service provider.

Similar to PCA services, CFSS will offer assistance with Activities of Daily Living (ADLs), Instrumental Activities of Daily Living (IADLs), and health-related tasks and back-up systems to assure continuity of services and supports based on assessed functional needs for people who require support to live in the community.

Unlike PCA services, CFSS will offer permissible services and supports related to an assessed need or goal in the person-centered service plan, which may include, but are not limited to:

• Services and supports that increase a person’s independence;
• Items such as assistive technology and environmental modifications to substitute for or reduce the need for human assistance; or
• Acquisition of skills to complete ADLs.

CFSS will have two service delivery models, the agency provider model and the budget model. Orion ISO will provide both models, so we can provide your CFSS homecare services regardless of which model you select.

In both models, you or your responsible party:

• Directs all care;
• Has a say in selecting your worker, who can be your spouse or a parent if the person who needs care is a minor;
• Writes the plan with assistance from the consultation services provider as desired; and
• May purchase goods.
• In the agency provider model, you will select a provider that serves as the caregiver’s employer. This means the agency will recruit, hire, train, supervise and pay CFSS support workers. DHS will use PCA agencies, including Orion ISO, to deliver these services. Under the agency model, you will be able to keep your current, trusted caregiver.

  In the budget model, you will employ your support workers and have a budget rather than service units. You will be responsible for the recruitment, hiring, training and supervision of your support workers. You will select a financial management services (FMS) provider, from a list including Orion ISO, to help you comply with applicable laws.

People who use CFSS will have more options and supports:

• Unlike PCA, in CFSS a person’s spouse or the parent of a minor may serve as that person’s support worker.
• People may choose to purchase goods to aid in their independence.
• The state provides a budget that the provider agency or the person may use to train workers to support the person’s individual needs.
• The consultation services provider will provide education and support in writing the person’s plan.

On Oct. 1, 2024, the Department of Human Services plans to begin CFSS implementation. People who receive services through the PCA program or CSG benefit will transition to CFSS during their regularly scheduled annual reassessment.

Orion ISO will post updates on our website and send out communications to our clients. The transition for all persons currently utilizing PCA and CSG services to CFSS is estimated to take 15 months, so your transition to CFSS may not be for a year or more after the CFSS program begins on Oct. 1.