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HF 4626

Community first services and supports program modified.

2025-2026 Regular Session Introduced by Mohamud Noor

HF 4626 tightens CFSS by imposing stricter provider qualifications, bonding, capital reserves, detailed planning, and reporting to boost program integrity and participant-centered

Introduction and first reading, referred to Human Services Finance and Policy
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Bill Summary · HF 4626

Summary of HF 4626 (2025-2026) – Community First Services and Supports Program Modified

Election of Minnesota HF 4626 proposes substantial modifications to the Community First Services and Supports (CFSS) program within the Minnesota health care system. The bill aims to strengthen program integrity, define clear provider responsibilities, expand reporting and enrollment requirements, and introduce new exclusions and notice obligations. Key provisions take effect Jan 1, 2027 for certain sections.

1) Main purpose and intent

  • Modernize and tighten CFSS program delivery and administration.
  • Improve accountability, financial oversight, and quality of services for participants using CFSS.
  • Introduce new training, reporting, and bonding requirements for CFSS agency-providers, consultation services providers, and worker training and development (WTD) facilitators.
  • Ensure uniformity with state requirements across managed care and county-based purchasing plans.

2) Key provisions and changes

A. CFSS service delivery plan (Section 1)

  • Plans must be person-centered and developed with the participant (or their representative) and updated at least annually or with significant changes.
  • Must specify: chosen consultation/agency/FMS provider, living setting, participant strengths, needs, goals, and budget details (including unpaid supports and natural supports).
  • Includes a detailed budget, unit/dollar amount, monthly averages, and a plan for face-to-face and remote supports.
  • Requires risk management measures, backup plans, and a written agreement clarifying roles and responsibilities.
  • Plan approval: lead agency for participants without a case manager; otherwise, waiver/alternative care participants’ plan must be approved by their case manager.

B. Provider qualifications and duties (Section 2)

  • Agency-providers and FMS providers must adhere to MA provider standards, background checks, and procedural requirements, including no in-person marketing to potential participants.
  • Must bill for actual hours worked and for worker training; pay payroll taxes; secure unemployment, workers’ compensation, and liability insurance.
  • Create and maintain formal agreements with participants; provide data to the department; comply with data requests.
  • Notify the commissioner about changes in worker employment status within specified timeframes:
    • Within 6 months for support workers no longer affiliated.
    • Within 30 days for workers training and development staff no longer affiliated.

C. Enrollment and bonding requirements (Section 3)

  • Enrollment data and documentation required of CFSS agency-providers, including:
    • Contact information, proof of surety bond, fidelity bond, workers’ comp, liability insurance.
    • Organizational charts, policies/procedures, and onboarding/training documentation.
    • Revenue-use requirements and anti-bundling measures (fees used for wages/benefits).
  • New capital reserves requirement for emerging providers: proof of operating capital (minimum $5,000 cash reserves, or equivalent to two payrolls, or other commissioner-approved proofs).
  • Revalidation requires payroll documentation and financial statements showing compliance with revenue-use rules.

D. Notice of change of employment (Sections 4 and 8)

  • New subdivisions require support workers and WTD staff to notify the commissioner within specified timeframes when employment ends (six months for workers; 30 days for WTD personnel).

E. Consultation services and worker training (Sections 5–8)

  • Consultation services providers must meet specific qualifications, including surety bonds and staff experience in CFSS-related roles.
  • Exemption from consultation services possible under certain conditions if the participant’s condition hasn’t significantly changed.
  • Worker training and development services have defined scope, documentation requirements (including provider identifiers), limits, and exclusions (e.g., general agency training not covered).

F. Uniformity with state requirements (Section 9)

  • Managed care and county-based plans cannot impose more restrictive CFSS requirements than the state, including service authorization amounts, provider identifiers, claims submissions, and daily time/activity documentation.
  • Effective date for this uniformity provision: January 1, 2027.

3) Who is affected

  • CFSS agency-providers and FMS providers: expanded enrollment, bonding, insurance, reporting, and capital requirements; ongoing documentation and notification duties.
  • Consultation services providers: bonding, qualifications, contract requirements.
  • Support workers and workers in training/development: notification obligations to the commissioner upon employment changes.
  • Participants and lead agencies: enhanced planning, budgeting, and oversight to ensure transparent service delivery.

4) Procedural and timeline aspects

  • Effective date for major uniformity provisions: January 1, 2027.
  • Several provisions require annual reporting and documentation during enrollment and revalidation.
  • Wage and budget constraints tied to CFSS service delivery plans and provider revenue use (e.g., 72.5% of CFSS provider revenue toward wages/benefits, with special rules for wage increases under collective bargaining).
  • Transitional period for providers to meet new bonding and financial requirements; ongoing oversight by the commissioner.

Overall, HF 4626 seeks to strengthen CFSS program integrity, clarify provider responsibilities, and ensure participant-centered planning with robust financial and operational safeguards.

Compiled from official sources — confirm details with the bill’s official record.

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