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

There are no similarities between PCA and CFSS on the ASA3 screen for personal emergency response systems (PERS).

Differences

In PCA, a person cannot purchase PERS. The ASA3 screen for PERS only applies to CFSS.

The county/tribal nation enters lines for the person’s specific services on the ASA3 screen. This page describes how to enter PERS lines (S5160, S5161, S5162) for a person who uses CFSS and uses CFSS funds to purchase PERS equipment, installation or monthly services. For information and instructions about other ASA3 line types, refer to DSD MMIS Reference Guide – ASA3 screen overview.

A person can purchase up to three PERS services:

The county/tribal nation enters a separate line for each service the person plans to use. The county/tribal nation cannot enter more than one of each type of PERS line with overlapping dates.

For more information, refer to CFSS Manual – PERS.

Note: This page does not apply to a person who uses waiver funds to purchase PERS equipment, installation or monthly service. For more information, refer to CBSM – PERS.

In the optional LI COMMENTS field, the county/tribal nation enters additional clarifying information, if desired. This comment appears in the person’s letter and the provider’s letter.

In the PROC field, the county/tribal nation enters the procedure code for each authorized service:

In the MOD1-4 field, the country/tribal nation enters modifiers to provide additional information needed for authorization and billing.

For each PERS (S5160, S5161, S5162) line, the county/tribal nation enters the modifier for the model the person selected:

MMIS posts an exception code the county/tribal nation must resolve if the county/tribal nation:

In the START/END DT fields, the county/tribal nation enters start and end dates in MMDDYY format. Start and end dates indicate when the line starts and ends. The dates must be within the agreement start and end dates (AGMT START/END DT fields) on the ASA1 screen.

Installation and purchase lines

For a PERS installation (S5160) or PERS equipment purchase (S5162), the county/tribal nation enters the date the PERS company installed the equipment or the date the person purchased the equipment in the START DT and END DT fields.

In the REQ RATE/UNIT field, the county/tribal nation enters the requested reimbursement rate for PERS found on DHS – CFSS codes and rates.

The REQ TOT UNITS field lists the total number of units for the specific line.

For a PERS installation (S5160) line or PERS equipment purchase (S5162) line, the county/tribal nation enters 1.

For a PERS monthly fee (S5161) line, the county/tribal nation enters the number of months in the PERS monthly fee (S5161) service line.

MMIS auto-populates the REQ TOT AMT field based on the entries in the REQ RATE/UNIT and REQ TOT UNITS fields.

In the PROV NBR field, the county/tribal nation enters the provider number for the provider the person will use for the service.

If the person has selected a provider, the county/tribal nation enters the provider’s National Provider Identifier (NPI) number or Unique Minnesota Provider Identifier (UMPI) number.

If the person has not selected a provider, the county/tribal nation enters:

For more information, refer to DSD MMIS Reference Guide – Finalize a type B service agreement for PCA/CFSS.

Find a provider number in MMIS

If the person’s service delivery plan does not list the provider number, refer to Instructions for Completing and Entering the LTCC Screening Document and Service Agreement into MMIS, DHS-4625 (PDF).

MMIS auto-populates the PROV NAME field when the county/tribal nation presses function key F9. This field lists the provider name based on the provider number the county/tribal nation enters in the PROV NBR field. The county/tribal nation cannot edit this field.

MMIS auto-populates the SHR field. If the county/tribal nation edits this field, MMIS overwrites their entry.

The county/tribal nation leaves the FREQ field blank. This field is not used in a PERS line.

In the RSN CD field, the county/tribal nation enters legal notice language to add to the SA when needed. If the county/tribal nation makes changes specific to PERS, they enter the appropriate reason codes in this field. For more information, refer to DSD MMIS Reference Guide – ASA3 screen overview.

MMIS reason code text

For a list of MMIS reason codes, refer to DSD MMIS Reference Guide – Type B home care service agreement MMIS reason codes.

If the county/tribal nation needs to enter more lines, they press function key F11 to display the next blank line. MMIS displays only two lines per page.

After the county/tribal nation enters all lines, they press a transmit key to advance to the AHC1 screen.