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Personal Care Assistance

Extended waiver PCA services

Page posted: 03/12/10

Page reviewed: 12/29/17

Page updated: 12/29/17

Legal authority

Federally approved waiver plans for CAC, CADI, DD, EW and BI


Extended waiver PCA services is additional PCA time beyond what state plan PCA allows. This service is authorized based on a need for increased duration or frequency of PCA care than the state plan allows for the assessed dependencies. Dependencies determined in the state plan assessment are not changed by adding extended waiver PCA services. Lead agencies authorize additional units through a waiver program.


Recipients must meet basic PCA service access criteria. The scope of the PCA service is the same as defined in state plan PCA service. All policies and limitations of the PCA program apply to extended waiver PCA services except for the amount and duration of the service.

Both PCA and extended waiver PCA services may use services flexibly according to the needs of the person. See Flexible use of PCA services.

Lead agencies may only authorize extended waiver PCA services when all of the following conditions have been met:

  • • Lead agencies have authorized state plan non-waiver PCA services.
  • • The person has a need for PCA services identified during the assessment.
  • • The need for PCA services is of greater frequency or duration than state plan PCA allows.
  • • PCA services do not duplicate other services on the person’s individual service plan or community support plan.
  • Lead agencies determine the amount of extended waiver PCA services.

    Assessment for state plan PCA

    The PCA assessment, completed through either MnCHOICES or a legacy form, determines the amount of service available through a state plan without a waiver.

    For BI, CAC, CADI, EW waivers, lead agency assessors use the Supplemental Waiver PCA Assessment and Service Plan (DHS-3428D) (PDF).

    For DD Waiver, lead agency public health nurses use the PCA Assessment and Service Plan (DHS-3244) (PDF).

    For assessments in MNCHOICES, refer to the MnCHOICES web page.

    PCA provider agency responsibilities

    Providers must meet MHCP Provider enrollment standards and requirements under Minn. Stat. 256B.0659, subd. 21-23.

    For more information, see the DHS MHCP Enrolled Providers page.

    Lead agency responsibilities

    The lead agency determines the need for PCA and extended waiver PCA services based on all of the following:

  • • Assessments (PCA and waiver)
  • • Choice of the person
  • • Documented need for services
  • • Other services and supports available to the person
  • Once a lead agency determines the person needs more PCA units, the lead agency:

    1. Enters state plan PCA into MMIS in two six-month date spans

    2. Enters extended waiver PCA services in one date span

    3. Documents the total amount of both the state plan and the extended waiver PCA services on the waiver support plan

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    © 2019 Minnesota Department of Human Services Updated: 12/29/17 4:06 PM | Accessibility | Terms/Policy | Contact DHS | Top of Page | Updated: 12/29/17 4:06 PM