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Frequently asked questions about lifting the 40-hour/week limit for parents of minors and spouses in CDCS and CSG

Background

Families who are primary caregivers for loved ones with disabilities or older adults need additional flexibility and resources during the COVID-19 emergency. Due to COVID-19 hardships, families may not have access to workers coming into their home.

On Nov. 12, 2020, the governor approved DHS to seek approval from the federal Centers for Medicare & Medicaid Services (CMS) to lift the 40-hour/week limit for eligible workers in consumer directed community supports (CDCS) and the Consumer Support Grant (CSG) program. DHS announced this change via DHS Bulletin #20-56-13: Support for family caregivers and distance learning (PDF), dated Dec. 8, 2021, which is the earliest date the changes can be implemented. DHS received retroactive federal approval for this modification on Dec. 15, 2020.

This modification allows:

  • Flexibility for people to use current, trusted workers to provide additional hours of service within their current authorization or overall budget
  • Parents of minors to exceed 40 hours/week
  • Spouses to exceed 40 hours/week
  • Additional parents of minors to be paid caregivers for either one or multiple children.

For more information, see DHS Bulletin #20-56-13: Support for family caregivers and distance learning (PDF).

This page provides answers to frequently asked questions about the process to implement this change for CDCS and CSG.

CDCS

CSG

Current state statute allows counties and tribal nations flexibility to establish their own procedures for CSG. Many counties and tribal nations chose to mirror CDCS policy and applied the same limitations listed above to parents of minors and spouses of people who use CSG. All county and tribal nation CSG limits are now waived to allow parents of minors and spouses to provide services within the person’s overall CSG budget.

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