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 AHC1 screen is the same for a PCA and CFSS service agreement (SA).

Differences

Some fields on the AHC1 screen now have different names than they did in PCA.

This page describes how to complete the AHC1 screen for both PCA and CFSS.

The AHC1 screen contains assessment information needed to calculate the units or dollars for which the person is eligible.

A PCA or CFSS SA does not use all fields on the AHC1 screen. This page only describes fields relevant to a PCA or CFSS SA.

In the PHONE field, the county/tribal nation enters the phone number DHS should call with questions, if needed.

In the ASSESSOR NAME field, the county/tribal nation enters the last and first name of the assessor who completed the assessment.

In the ASSESSMENT DATE field, the county/tribal nation enters the date the assessment was completed in MMDDYY format.

The BEGIN DATE field on the AHC1 screen must match the AGMT START DT field on the ASA1 screen. An entry in either field auto-populates the other field when the county/tribal nation presses function key F9. If the dates do not match, MMIS posts an exception code the county/tribal nation must resolve.

For information on how to determine the correct begin date, refer to the agreement start date (AGMT START DT) section of DSD MMIS Reference Guide – ASA1 screen for PCA/CFSS.

The END DATE field on the AHC1 screen must match the AGMT END DT field on the ASA1 screen. An entry in either field auto-populates the other field when the county/tribal nation presses function key F9. If the dates do not match, MMIS posts an exception code the county/tribal nation must resolve.

In the PC/CF field, the county/tribal nation enters X to indicate that the person uses PCA or CFSS.

In the PC/CF SUPERVISION field, the county/tribal nation enters X to indicate if the person uses PCA or CFSS qualified professional (QP)/worker training and development.

In the DIAGNOSIS 1 field, the county/tribal nation enters the International Classification of Diseases (ICD) code for the person’s primary diagnosis.

Note: For a list of diagnosis codes, refer to Centers for Disease Control and Prevention – ICD-10.

In the optional DIAGNOSIS 2 and DIAGNOSIS 3 fields, the county/tribal nation enters additional ICD codes for the person’s additional diagnoses when applicable.

The HOME CARE RATING field lists the person’s home care rating.

The county/tribal nation cannot edit this field.

MMIS auto-populates this field based on entries on the AHC2 screen.

The TOTAL TIME field lists the person’s total minutes per day.

The county/tribal nation cannot edit this field.

For a person with the home care rating EN, MMIS leaves this field blank.

For a person without the home care rating EN, MMIS auto-populates this field based on entries on the AHC2 screen.

The county/tribal nation presses a transmit key to advance to the AHC2 screen.