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.

As of Oct. 1, 2024, 45-day temporary starts are no longer available for PCA, and all assessments conducted by counties/tribal nations are for CFSS services. If an assessment determines a person is eligible for a 45-day temporary start of services, the county/tribal nation authorizes CFSS services. For more information, refer to CFSS Manual – 45-day temporary start of CFSS services (i.e., emergency start).

This page describes how to complete select fields on select screens when the county/tribal nation enters a service agreement (SA) for a person who uses CFSS with a 45-day temporary start. To complete the other fields, the county/tribal nation follows the instructions for an SA without a 45-day temporary start.

The county/tribal nation follows the instructions below to complete select fields on the ASA1 screen. The county/tribal nation must follow the time limitations specific to a 45-day temporary start.

AGMT START DT field

In the AGMT START DT field, the county/tribal nation enters the SA start date in MMDDYY format.

Note: The county/tribal nation can authorize services up to five days before the date entered in the ASSESSMENT DATE field on the AHC1 screen. If the county/tribal nation enters a date before the date entered in the ASSESSMENT DATE field on the AHC1 screen, MMIS posts an exception code. The county/tribal nation must route the SA to DHS when they finalize the SA.

AGMT END DT field

In the AGMT END DT field, the county/tribal nation enters the SA end date in MMDDYY format. The entry can be up to 45 days after the date in the AGMT START DT field.

Remaining fields

To complete the remaining fields, refer to DSD MMIS Reference Guide – ASA1 screen for PCA/CFSS.

The county/tribal nation enters three lines on the ASA3 screen:

If the county/tribal nation enters a personal care (T1019) line with the 45-day temporary start modifier (U8), MMIS posts an exception code the county/tribal nation must resolve if the county/tribal nation:

Consultation services (T1023) line

To complete the consultation services line, the county/tribal nation refers to DSD MMIS Reference Guide – ASA3 screen for consultation services (T1023).

Personal care (T1019) line

The county/tribal nation follows the instructions below to complete select fields on the personal care line.

MOD1-4 field

In the MOD1-4 field, the county/tribal nations enters:

REQ TOT UNITS field

In the REQ TOT UNITS field, the county/tribal nation enters the number of units the person will use for CFSS personal care services. The county/tribal nation:

1. Locates the number of units the person is eligible for in their assessment result.

2. Multiplies that number by the number of days in the SA (no longer than 45 days).

3. Enters the result in the REQ TOT UNITS field.

Remaining fields

To complete the remaining fields, the county/tribal nation refers to DSD MMIS Reference Guide – ASA3 screen for personal care services (T1019).

Worker supervision/training (S5116) line

To complete the worker supervision/training (S5116) line, the county/tribal nation refers to DSD MMIS Reference Guide – ASA3 screen for worker supervision/training (PCA: T1019 – UA; CFSS: S5116).

The county/tribal nation follows the instructions below to complete the ADDITIONAL COMMENTS field on the AHC3 screen.

ADDITIONAL COMMENTS field

The county/tribal nation uses the ADDITIONAL COMMENTS field to document:

The county/tribal nation must date and initial all comments.

Remaining fields

To complete the remaining fields, refer to DSD MMIS Reference Guide – AHC3 screen for PCA/CFSS.

To finalize a 45-day temporary start, the county/tribal nation:

1. Presses function key F9 to prompt the MMIS exception control function.

2. Resolves all exception codes other than:

3. Presses function key F9 again to clear the resolved exception codes.
Note: If MMIS posts exception code 893, the county/tribal nation manually routes the SA to DHS. To do this, the county/tribal nation:

4. Presses function key F3 to save entries and exit the document.