People with Disabilities


Consumer directed community supports

Consumer directed community supports (CDCS) is a unique service option that gives you flexibility and responsibility to direct your services and supports, CDCS may include services, supports and items currently available through the Medical Assistance waivers, as well as additional services.

  • Who is eligible for CDCS?
  • What does CDCS offer?

    The flexibility built into CDCS allows you to tailor services and supports to your unique needs. When you choose CDCS, you may:

    • Decide how to spend your budget allowance based on your needs
    • Hire people you know, such as family, friends and neighbors, to help you
    • Choose as much responsibility as you want to hire, train and manage your workers.
    •  Choose full employer responsibility by being a participant employer. For more information please see Participant Employer Option.
  • What is person-centered planning?

    Person-centered planning uses groups of people to focus on your needs and vision of what you would like your future to look like. With this, you:  

    • Are the focus of planning and those who know you are the primary authorities on the person's life direction
    • Develop the plan and the plan is not developed for you
    • Identify who you are and how to be meet your needs 
    • Make decisions

    Self-determination, a key component of CDCS, articulates these four key principles:

    • Authority to control the money you are allocated within established parameters
    • Freedom to plan and live a life you choose
    • Responsibility to accept the benefits and risk for choices you make and account for the money you spend
    • Support to arrange and receive the help you need.

    Once you have your thoughts organized and gathered through this person-centered planning process, you may start to develop your community support plan.

  • Who can help me write the plan?

    The process of developing the CDCS Community Support Plan (PDF) is person-centered. If you need more professional help to develop your support plan, you may have a support planner help you. 

    Support planner

    A support planner is a person who understands CDCS, person-centered planning and how to develop a support plan. A support planner is able to:

    • Provide information about CDCS and provider options
    • Help you develop a community support plan
    • Help you monitor your support plan
    • Help you purchase and receive services and supports
    • Help you recruit, screen, hire, train, schedule, monitor and pay support workers
    • Help you solve problems that may occur
    • Provide and arrange for staff training specific to your needs.
  • What should I put in my plan?

    The community support plan may contain a mix of paid and non-paid services, formal and informal supports, as long as they:

    • Address your assessed needs
    • Are covered within your individual CDCS budget.

    A CDCS Community Support Plan (PDF) includes:

    • Costs of each support or service
    • Plans to monitor your services or supports
    • Qualifications of the people that will provide your services or supports
    • Supports and services you need and plan to use
    • Training you would like your supports to have.
  • How is my CDCS budget determined?

    Your CDCS budget is set 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 on the waiver and CDCS.

    If your needs stay the same, you should expect that your budget will remain about the same from year to year.

  • How do I use my budget?

    You decide how to use the funds in your CDCS budget to meet your service and supports needs and preferences within the guidelines of the CDCS service and the waiver or Alternative Care program. Your budget amount is the maximum amount of funds you have to use for your services and supports for one full year.

    If you choose CDCS as a service option, you must choose a fiscal support entity (FSE) to help you manage your services and supports and help with employer-related responsibilities.

  • What is a fiscal support entity?

    Fiscal support entities may provide a range of services as long as they provide payroll assistance at the minimum.

    Fiscal conduit model

    • Consumer is the employer
    • FSE is the bill payer.

    Payroll model

    • Consumer is the employer
    • FSE is the bill payer, helps with paperwork and provides education to you.

    Agency with choice model

    FSE is the bill payer, helps with paperwork, provides education to the consumer and is also the employer.

    Approved FSEs

    The following agencies have been approved as fiscal support entities and most are available statewide. Counties must work with these enrolled providers to assure access to consumer directed services for consumers.

  • How can I find out more about the CDCS service?

    For more information on CDCS, contact: 

    You can also review the Consumer Directed Community Supports Consumer Handbook DHS-4317 (PDF).

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