How is a person's eligibility for PCA and CFSS determined?

A person's eligibility for PCA (Personal Care Assistance) and CFSS (Consumer Directed Community Supports) is determined through an assessment process carried out by a designated lead agency. This evaluation uses guidelines established at the state level to ensure a consistent and objective determination of eligibility. The assessment considers a variety of factors, including the individual's functional needs, medical conditions, and the overall ability to perform daily activities. This structured approach ensures that eligibility is based on standardized criteria, which helps maintain fairness and equity in the provision of services.

While personal interviews and care history may contribute to understanding an individual’s needs, they do not solely define eligibility. Additionally, family recommendations, while valuable, do not have an official bearing on the eligibility determination process. State-set guidelines form the backbone of this eligibility assessment to ensure comprehensive and equitable access to these critical services.