Paid Consumer-Directed Community Supports (Cdcs)

Participants must purchase FMS and SB services to participate in the CDCS option. Participants must purchase good s and community supports through an FEA who is providing the FMS. (7-1-25) 01. FMS. The Department will enter into a provider agreement with qualified FEAs, as defined i n these rules, to provide FMS for payroll and reporting functions to participants who choose the CDCS option. (7-1-25) 02. SB Services. Services provided by a qualified SB to assist in making informed choices, participat e in a person-centered planning process, and become skilled at managing their own supports such as negotiating an d budgeting. SBs have to apply for requalification annually. (7-1-25) 03. CSW Services. The CSWs provide identified supports to the participant. If the identified suppor t requires specific licensing or certification within the state of Idaho, the identified CSW must obtain the applicabl e license or certification. Identified supports include activities that address the participant's preference in both FDC S and SDCS, unless otherwise specified, for: (7-1-25) a. Job support for SDCS to help the participant secure and maintain employment or attain jo b advancement; (7-1-25) b. Personal support to help the participant maintain health, safety, and basic quality of life; (3-17-22) c. Relationship support to help the participant establish and maintain positive relationships wit h immediate family members, friends, spouse, or others in order to build a natural support network and community; (3-17-22) d. Emotional support to help the participant learn and practice behaviors consistent with their goal s and wishes while minimizing interfering behaviors; (3-17-22) e. Learning support for SDCS to help the participant learn new skills or improve existing skills tha t relate to their identified goals; (7-1-25) f. Transportation support to help the participant accomplish their identified goals; and (7-1-25) g. Skilled nursing support for SDCS identified in the participant's plan that is within the scope of th e Nurse Practice Act and is provided by a licensed registered nurse (RN) or licensed practical nurse (LPN) under th e supervision of an RN, licensed to practice in Idaho. (7-1-25) 04. Medically Necessary Equipment. Adaptive and therapeutic equipment is medically necessary , meets a medical or accessibility need, and promotes increased independence. FDCS may substitute medical necessit y for minimizing the participant’s need for institutionalization. Items may be covered when: (7-1-25) a. Not available through another source; (7-1-25) b. Identified in the participant’s plan; (7-1-25) c. Safe and effective treatment that meets evidence – based treatment criteria; (7-1-25) d. Optimal for the participant’s health, safety and welfare; (7-1-25) e. Least costly alternative that reasonably meets the identified need; (7-1-25) f. For the sole benefit of the participant; and (7-1-25) g. Meets at lease one (1) of the following: (7-1-25) i. Assist the ability of the participant to remain in the community; (7-1-25) ii. Enhance community inclusion and family involvement; and (7-1-25) iii. Decrease dependency on formal support services. (7-1-25) 05. Limitations. Services have the following limitations: (7-1-25) a. CDCS Purchased items and services must meet needs related to a developmental disabilit y diagnosis. The use of CDCS and FDCS purchased items by an individual other than the participant is prohibited. Th e following types of items or services are not covered: (7-1-25) i. For the convenience of a caregiver; (7-1-25) ii. Educational; (7-1-25) iii. Recreational; or (7-1-25) iv. Vocational except pre-vocational and job supports. (7-1-25) b. CDCS services may only be rendered by (1) staff to one (1) participant at a time. Staff may not: (7-1-25) i. Render any other support, service, or supervision, paid or unpaid, to any other individual; or (7-1-25) ii. Perform multiple services concurrently. (7-1-25) c. CDCS and FDCS transportation support is limited to one thousand eight hundred (1,800) mile s annually, unless otherwise authorized. (7-1-25)