DHS is in the process of replacing personal care assistance (PCA) and the Consumer Support Grant (CSG) with Community First Services and Supports (CFSS). For more information about this transition, refer to CFSS Manual – Transition from PCA and CSG to CFSS.

For a Medicaid Management Information System (MMIS) transition summary, refer to DSD MMIS Reference Guide – MMIS transition from PCA and CSG to CFSS.

Similarities

For a person on MRRP, in both PCA and CFSS, the county/tribal nation:

Differences

For a person on MRRP, the county/tribal nation:

DHS places some people on MRRP. For more information, refer to CFSS – MRRP.

This page describes how to complete select fields on the ASA3 screen for a person on MRRP for both PCA and CFSS. To complete the other fields on the ASA3 screen, the county/tribal nation follows the instructions on DSD MMIS Reference Guide – ASA3 screen for personal care services (T1019).

The county/tribal nation enters one personal care (T1019) line for each month in the person’s SA with no gaps. If the county/tribal nation enters an SA for a person on MRRP that does not have one personal care (T1019) line for each month in the person’s SA, MMIS posts an exception the county/tribal must resolve.

First line

In the START DT field, the county/tribal nation enters the date the person will start to receive services. In the END DT field, the county/tribal nation enters the last date of the same month.

Middle lines

For each month, the county/tribal nation enters the first date of the month in the START DT field and the last date of the month in the END DT field.

Last line

In the START DT field, the county/tribal nation enters the first date of the last month in the SA. In the END DT field, the country/tribal nation enters the date in the AGMT END DT field on the ASA1 screen.

In the REQ TOT UNITS field on each personal care (T1019) line, the county/tribal nation enters the number of units the person will use in the month. Instructions for the REQ TOT UNITS field vary by the person’s circumstances.

PCA or CFSS agency model without goods, services and/or PERS

If the person on MRRP uses PCA or the CFSS agency model and does not purchase goods, services or PERS, the county/tribal nation must calculate the number of units for each line according to the number of days in that month.

For partial months, the county/tribal nation:

1. Divides the number in the TOTAL TIME field on the AHC1 screen by 15 to determine the number of units per day for which the person is eligible.

2. Multiplies the number of units per day for which the person is eligible by the number of days included in the partial month.

For complete months, the county/tribal nation:

1. Divides the number in the TOTAL TIME field on the AHC1 screen by 15 to determine the number of units per day for which the person is eligible.

2. Multiples the number of units per day for which the person is eligible by the number of days in that month (e.g., 31 days in January, 30 days in April, 29 days in a leap-year February).

CFSS agency model with goods, services and/or PERS

A person on MRRP can use the CFSS agency model and purchase goods, services and PERS. If a person on MRRP uses the CFSS agency model and purchases goods, services and/or PERS, the county/tribal nation enters good and services (T5999) and PERS (S5160, S5161, S5162) lines the same way they enter those lines on an SA for a person not on MRRP.

To enter personal care (T1019) lines, the county/tribal nation:

1. Converts the dollars the person will spend on goods, services and PERS to units. The county/tribal nation:

2.Calculates the total units for which the person is eligible. To do this, the county/tribal nation:

3. Calculates the total number of personal care units the person will use in the SA. To do this, the county/tribal nation subtracts the result of step 1 from the result of step 2.

4. Calculates the average number of personal care units the person will use per day. To do this, the county/tribal nation divides the result of step 3 by the number of days in the person’s SA.

5. Calculates the number of units to enter for each month:

6. Rounds the results of step 5 down to the nearest whole number for each month.

7. Adds the results of all the months in the SA.

8. Determines the number of remaining units. To do this, the county/tribal nation subtracts the result of step 7 from the result of step 3.

9. Distributes any remaining units as evenly as possible across the year.

CFSS budget model

A person on MRRP cannot use the CFSS budget model.

The county/tribal nation cannot edit the FREQ field.