Program Description
Minnesota’s Consumer Support Grant, also known as the CSG Program, is a monthly cash grant provided to program participants in lieu of them receiving care services in their home. This grant is offered to Minnesotans as an alternative to home care services (home health aide, personal care assistance, and private duty nursing) covered via Medicaid. Aside from care support, this grant may be used for a variety of other supports, such as home modifications, meal delivery, and transportation assistance, in order to decrease an individual’s reliance on others.
Recipients are given a grant of cash and the flexibility to self-direct their care in place of receiving care services provided by state managed agencies. This model of care is also referred to as “consumer direction” or “participant direction.”
One particularly attractive component of the Consumer Support Grant is that family members can be hired as paid caregivers. Unlike many programs that offer consumer direction, even spouses, in addition to adult children and other relatives, can be hired and receive compensation as caregivers.
Make note, an individual cannot be enrolled in the CSG Program and simultaneously receive services via the Elderly Waiver, Managed Care, or Alternative Care programs.
Eligibility Guidelines
General Requirements
Applicants for this program must meet the following requirements:
- Be a resident of Minnesota and live in a county that offers the CSG program.
- Be able to live in their own home or the home of a relative and have the capacity to direct their own care (or authorize someone else to do it for them).
- Qualify for Minnesota’s Medical Assistance (Medicaid).
- Be eligible to receive home care services from the Medical Assistance Home Care Program.
- Require ongoing supports to live in the community.
- Demonstrate a need for assistance with their activities of daily living, such as bathing, grooming, eating, mobility, and / or toileting.
- Cannot be receiving services through Minnesota’s Alternative Care program, home and community-based service waivers, managed care programs or MA home health aide services, personal care assistance or private duty nursing.
Financial Requirements
Income Limits
Financially, Medical Assistance has many different criteria depending on the eligibility group. For 2024, elderly (65 and up) residents can have a monthly income of up to $1,255, and couples can have no more than $1,703. (These figures are equivalent to 100% of the Federal Poverty Level.) The income limits are approximately 20% lower for individuals who intend to qualify for Medical Assistance through deducting their medical services from their income.
Asset Limits
A countable asset limit also exists that excludes necessary items, such as a home, household furnishings, a car, clothing, and some personal sentimental items, such as wedding rings. The 2024 asset limit is $3,000 for a single applicant. Married applicants have a $6,000 limit.
Over the Financial Limits?
Persons exceeding the financial limits may still qualify. A professional Medicaid planner or adviser can offer families valuable insights on how to use the program rules strategically. Learn more about the benefits of using a Medicaid planner.
Benefits and Services
Participants in the program are provided cash grants that can be used for a variety of supports, such as:
- Home or vehicle modifications to account for their disability
- Assistive technology / durable medical equipment to increase their ability to function independently
- Personal care services and home health care, including the hiring of nurses
- Companionship services
- Meal planning and preparation / home delivered meals
- Chore services
- Assistance with transportation
- Respite care
- Family counseling
Grant funds can be used for other services that are directly related to caring for the disabled or aged individual. Supports and services not explicitly identified above need to be approved by the program staff. Grants can be given out as cash, vouchers, or as payment directly to the vendor.
How to Apply / Learn More
To begin the application process, one should contact their local county or tribal human services office. A complete list of offices can be found here. Unfortunately, this grant program is not available statewide.
More information can be found on the Minnesota CSG webpage or in this fact sheet.
