Participants in CFSS and PCA programmes can both hire caregivers. However, spouses are not permitted to give care under the PCA Program. Participants in the CFSS have the option of employing a relative or using their spouses as caregivers. Participants can receive the CFSS and PCA services as long as they are Medicaid eligible because they are both entitlements.

The Consumer Support Grant benefit and the PCA programme will be replaced by the CFSS programme. Currently under development, the programme needs federal approval. Similar services to PCA will be offered by CFSS, such as behaviour and observational tasks connected to health. Either one of the two service options is available to a person. Both programmes' participants are free to select whatever option suits them the best.
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