MMIS SERVICE AGMT – AHC3 screen for CSG
Note: DHS will keep this page for historical reference during the transition from personal care assistance (PCA) and the Consumer Support Grant (CSG) to Community First Services and Supports (CFSS). For more information, refer to DSD MMIS Reference Guide – MMIS transition from PCA and CSG to CFSS.
Page posted: 5/20/11 | Page reviewed: | Page updated: 9/30/24 | |
Transition from CSG to CFSS | 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. DHS must update the Medicaid Management Information System (MMIS) to allow counties/tribal nations to enter a CFSS service agreement (SA). Some fields have minor changes. For more information, refer to DSD MMIS Reference Guide – MMIS transition from PCA and CSG to CFSS. During the transition from CSG to CFSS, the county/tribal nation follows the instructions below to enter a new SA in MMIS: | ||
Comment screen navigation | Enter text on the additional information screen. Enter a maximum of 13 lines of text. No word wrap or spelling check is available. Press the tab key to move to the next line. Comments on the AHC3 screen do not display on recipient or provider service agreement (SA) letters. | ||
ADDITIONAL INFORMATION field | Enter any additional information regarding this SA. Document when applicable: Comments on the AHC3 screen do not appear on the SA letters. Date and initial all comments. CSG with PCA assessmentDocument the PCA units/day, QP supervision hours/month if the person were to return to PCA. Cashing out current PCA SADocument the PCA units/day, QP supervision hours/month if the person were to return to PCA. Document the date to close the current PCA SA when cashing out PCA for CSG. Notice of reductionDocument the CSG dollar amount on the current SA (the higher amount) for each CSG line. Document the reason for reduction in CSG monthly budget amount. Document the PCA units/day, QP supervision hours/month if the person were to return to PCA. Notice of terminationDocument the CSG dollar amount on the current SA (the higher amount) for each CSG line. Document the reason for termination of CSG. Document the date of termination of CSG. Denial of CSGDocument the reason for denial of CSG. CSG combined PCA and PDN or HHADocument the date to close the home care SA for HCN/HHA when cashing out HCN/HHA for CSG. CSG with FSGDocument the monthly FSG dollar amount for FSG line. Document the reason for termination of FSG. Effective Aug. 1, 2012, FSG is no longer allowed with CSG. Document the date of termination of FSG. | ||
Navigation | Press a transmit key to advance to the ADHS screen. | ||
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