Skip To: Main content|Subnavigation|
Minnesota Department of Human Services PCA Manual
Advanced Search|  

Personal Care Assistance

45-day temporary increase of PCA services

Page posted: 11/04/13

Page reviewed:

Page updated:

Legal Authority

Minn. Stat. §256B.0652, subd. 9 and 14

Definition

45-day temporary increase of PCA services: Process to increase PCA services for up to 45 days when the person has had a change in condition.

Policy

To treat a change in condition, MN statute allows five business days for a provider to request a temporary increase of PCA services.

The increase cannot exceed 45 days. If person requires increase of PCA services for more than 45 days, the lead agency assessor must complete a new assessment.

PCA Provider Agency Responsibilities

  • The provider must communicate to the lead agency about the need to increase PCA services. Once a provider identifies the need to increase PCA services, they have five business days to notify the lead agency of the change of condition or health status. Lead agency includes county, health plan and tribe.
  • The provider is responsible to document and substantiate the need for the increase.

    Lead Agency Responsibilities

    Lead agency assessor conducts a telephone assessment to determine the increased service needs.

    Lead agencies should use the following as sources of information:

  • • Provider
  • • Person who receives services
  • • Responsible party
  • • Other health care providers
  • Fee-for-service
    The person must meet the criteria for a change in condition before the lead agency may authorize additional time.

    Lead agency (county and tribe) enters the assessment information into MMIS including:

  • • Total number of additional minutes/day
  • • 45-day date span
  • • Description of the change in condition on the AHC3 screen
  • Lead agency:

    1. Resolves any technical edits.
    2. Routes the service agreement to DHS queue for final processing.

    Health plans follow their policy and processes.

    DHS Responsibilities

    DHS is responsible to:

    1. Resolve DHS reviewer edits.
    2. Authorize the increase of services.

    Rate/Report this pageReport/Rate this page

    © 2017 Minnesota Department of Human Services Updated: 11/8/13 4:37 PM | Accessibility | Terms/Policy | Contact DHS | Top of Page | Updated: 11/8/13 4:37 PM