Page posted: 1/7/10
Page reviewed: 4/21/17
Page updated: 4/21/17
Assessment for PCA services: A review and evaluation of a person’s need for PCA services.
Please Note: For information about assessments for PCA service completed using MnCHOICES, refer to the MnCHOICES webpage.
During an assessment for PCA services, the assessment process includes the following:
Documenting the health status of a person
Authorizing PCA services
If a person cannot direct his or her own care, the responsible party must be present for the assessment.
The assessment for PCA services is valid for 12 months.
State Plan, Consumer Support Grant (CSG) or DD Waiver
County public health nurses (PHNs) or PHNs under contract with the county, Managed Care Organization (MCO) or tribe complete PCA assessments and use the PCA Assessment and Service Plan (DHS 3244) (PDF)
BI, CAC, CADI or EW waiver, or Alternative Care
Lead agency assessors complete PCA assessments and use the Supplemental PCA Assessment and Service Plan (DHS-3428D) (PDF)
Managed care health plans
MCOs establish their own procedures for completing assessments and obtaining authorizations with one exception: Special Needs Basic Care (SNBC). For SNBC enrollees, follow the assessment process described on this page.
The county of residence, MCO or tribe completes a face-to-face PCA assessment when:
The assessor completes in-person assessments in one of the following settings:
An assessor in the county of residence completes a PCA assessment by phone when the person needs a:
Temporary increase to an existing service agreement – up to 45 days
For more information, see the PCA Program Manual page titled, 45-day temporary increase of PCA services.
Temporary start of service – up to 45 days
For more information, see the PCA Program Manual page titled, 45-day temporary start of PCA services.
An assessor completes a service update by phone with the person or his or her responsible party when:
Use the PCA Assessment and Service Plan (DHS 3244) (PDF) to document the service update as indicated below:
For both face-to-face and service update assessments, the assessor must send the PCA Assessment and Service Plan (DHS 3244) (PDF) to the person and chosen service provider within 10 business days of the assessment.
A face-to-face assessment occurs:
Service update assessment
Assessors may use a service update assessment annually for two consecutive years in place of a face-to-face assessment. After two consecutive years of service update assessments, DHS requires a face-to-face assessment.
State plan, Waiver and Alternative Care
Using appropriate methods and forms, policies and instructions, the assessor is responsible to:
Managed care health plans
The assessor must follow health plan policy and process for assessment, authorization and communication of assessment information.
The DSD Resource Center is a help desk that provides technical assistance to lead agencies and providers about screening documents and service agreements.in the Medicaid Management Information System (MMIS).
State plan non-waiver service agreements authorizing PCA services (also known as Type B):
DHS is responsible for: