Evaluation of CSSP
Offline use
If you will not have internet access while conducting the evaluation, open the PDF version of form DHS-7611A from the DHS eDocs site. Click the Save a copy button and save the document on your computer. Use the saved version of the document during your meeting with the person, and copy the information to the Support Plan when you return to the office.
Save button
After entering or editing information on this page, click the Save button.
Close button
After you have finished entering data in the evaluation and are ready to submit the data, click the Close button. A dialog box will appear asking you to confirm that you want to close the evaluation. To close the evaluation, click "Yes". To continue working in the evaluation, click "No".
After the evaluation is closed, none of the data in the evaluation can be edited.
General evaluation notes
Radio buttons indicate you may choose only one answer.
Check boxes indicate you may choose multiple answers.
Some responses to questions will add additional questions to the evaluation.
Questions 6 & 8
If the response to the question is "Some of the time" or "Rarely", a follow-up question and text box will appear.
Question 12
If the answer is "a", three additional questions will appear. If the answer is "b", one additional question will appear.
Question 14
If you check the checkbox next to any of the services or supports, use the text field to give more information about the person's answer.
Question 15
If "yes" is selected, an additional question and text field will appear.
More information
View the training module Evaluation of the CSSP.
Based on my Experience
The symbol indicates something that may not work as you might expect. We'll explain the issue, as well as any special procedures or workarounds.
You can also click the "Highlight all Based on my Experience tips" switch to highlight all of the items on the page.
Highlight all Based on my Experience tipsFeedback
Search
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Browser settings
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Resources
CountyLink
Latest information, known issues reports, feature requests and more.
PolicyQuest
The Disability and Aging PolicyQuest is an automated Web-based system for lead agencies to submit policy questions. The public can view the responses.
Acronym and abbreviation list
A list of acronyms and abbreviations commonly used across the department is posted on InfoLink.
CBSM
The Community-Based Services Manual (CBSM) is a reference tool for lead agencies who administer home and community-based services that support older Minnesotans and people with disabilities.
How to get help
A list of steps to take if you cannot find an answer to your policy question in the CBSM.
Build and Print: CSP/CSSP Crosswalk
A list of each tab in the Support Plan, whether the content in the tab is editable, and where the information from the tab prints.
Handling MN Information Securely
