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

The AHC3 screen is the same for a PCA and CFSS service agreement (SA).

Differences

There are no differences between a PCA and CFSS SA on the AHC3 screen.

This page describes how to complete the AHC3 screen for both PCA and CFSS.

The AHC3 screen contains comments about a PCA/CFSS SA that the county/tribal nation needs to communicate to DHS. The county/tribal nation and DHS also use the AHC3 screen for other services or programs. The county/tribal nation does not always use the AHC3 screen.

Comments the county/tribal nation enters on the AHC3 screen do not appear in the person’s SA letter (i.e., recipient letter) or provider’s SA letter.

MMIS includes the following system constraints when the county/tribal nation enters comments:

In the ADDITIONAL COMMENTS field, the county/tribal nation enters additional information about this assessment or SA for DHS use. The county/tribal nation dates and initials all comments.

The county/tribal nation uses the AHC3 screen to document:

The county/tribal nation can choose to use the AHC3 screen to document:

After the county/tribal nation enters comments, they press a transmit key to advance to the ADHS screen.