Skip navigation

Consumer directed community supports

Providing options for people with disabilities

Consumer directed community supports (CDCS) is a service option for people with disabilities that gives the flexibility and responsibility to tailor services and supports to their unique needs.

With this program, you:

  • Decide how to spend your budget allowance based on your assessed needs
  • Have the option to hire people you know, such as family, friends and neighbors
  • Choose as much responsibility as you want to hire, train and manage your workers

Learn more in this presentation from the State of Minnesota.

Open all


Your budget is determined using information from your most recent assessment and screening documents. You must be assessed by your county case manager, tribal entity or health plan representative every year to remain in the program. If your needs stay the same, you should expect that your budget will remain about the same from year to year.

Write a community support plan

The community support plan is your roadmap for care. It addresses your assessed needs within your budget, and it may contain a mix of paid and unpaid services, and formal and informal supports. Your plan should include:

  • Supports and services you need and plan to use
  • Costs of each support or service (all funds must focus on the assessed needs of the disabled person, meet health and safety standards, and be fiscally responsible)
  • Qualifications of the people that will provide your services or supports
  • Training you want your staff to have
  • Plans to monitor your services or supports
  • Goals and outcomes you hope to achieve

If you need help writing your plan or managing any element of your plan, you can hire a state-certified support planner. Ask your case manager for a current list.

Hire and supervise staff

You can choose to hire staff from a formal provider or hire people you know, like family, friends or neighbors. If you are already receiving services from an agency, you can choose to continue those services and pay for them out of your CDCS budget.

Hire a fiscal support entity

Your fiscal support entity bills the state for waiver services, provides payroll assistance and helps you develop the financial part of your community support plan to ensure it is within your budget amount. You may choose to have this person:

  • Review timecards and expenditures
  • Produce exception reports when you have overspent, underspent or when you have unapproved overtime
  • Pay staff, reimburse families for expenses

Monitor your plan

You must keep a record of all services and supports provided to you. Keep all receipts and time sheets so that you can accurately bill for services and supports.

You should also make sure that the people you hire are doing what they have been hired to do, and you should monitor whether the plan and supports are working for you.

The county’s role

Hennepin County will review your support plan to ensure it complies with waiver requirements, and annually review progress on outcomes identified in your support plan. The county will also authorize services listed in your plan in the state Medicaid Management Information System (MMIS).

Open all