Request Consultation

Make an initial request.

This form is only an initial request about developing CFSS consultation services. Share a general question or contact preference, and we can explain next steps when applicable.

Initial request only: When applicable, the participant selects a consultation services provider, and that provider must agree to work with the participant. The appropriate county, Tribal Nation, or managed care organization must authorize consultation services before authorized services begin.

A clear boundary

Connect And Care LLC is not Minnesota DHS, a lead agency, or an FMS provider. It does not determine eligibility, authorize services, manage participant funds, or replace the official responsibilities of Minnesota DHS, a lead agency, an FMS provider, or a managed care organization. Connect And Care LLC is developing these services; this form does not indicate that they are currently authorized, contracted, enrolled, or available as a DHS-approved provider. Please include only your name, email, phone, preferred contact method, and a general reason for contact.

Do not send medical, disability, financial, Social Security, Medicaid, member-identification, diagnosis, service-plan, or other confidential information. This form is not for participant or client records.

Read Privacy basics: Minnesota DHS Information access and privacy.

Prefer email? connect-and-care-llc@polsia.app

Share only a general question or reason for contacting us.

Do not include medical, disability, financial, Social Security, Medicaid, member-identification, diagnosis, service-plan, or other confidential information.