Minn. Stat. §256B.0659, subd. 2(c) & (d) and subd. 3(c), Minn. Stat. §256B.85, subd. 2 and subd. 9

DHS is in the process of replacing PCA with CFSS. For more information about this transition, refer to CFSS Manual – Transition from PCA and CSG to CFSS.

Similarities

PCA and CFSS cover the same health-related procedures and tasks.

Differences

PCA and CFSS differ based on who is responsible to train and supervise the worker.

In PCA, the qualified professional (QP) is responsible to train and supervise the PCA worker.

In CFSS, the responsibility to train and supervise the worker varies based on the model:

Health-related procedures and tasks: Procedures and tasks performed by a PCA/CFSS worker that can be delegated or assigned by a health care professional licensed under Minnesota state law.

Responsible party (RP)/participant’s representative: An individual who is age 18 or older and capable of directing care on behalf of a person receiving PCA/CFSS services when the person is assessed as unable to direct their own care. In PCA, this individual is called the RP. In CFSS, this individual is called the participant’s representative.

Note: All references to “representative” on this page refer to the participant’s representative, unless otherwise specified.

A licensed health care professional may delegate health-related procedures and tasks to a PCA/CFSS worker when all of the following criteria are met:

1. The procedure or task is a covered service.

2. A competent individual trains and supervises the worker. This responsibility varies by program/model:

3. The PCA/CFSS worker demonstrates competency to complete the procedures and tasks safely.

4. The person or their RP/representative chooses to have the PCA/CFSS worker perform health-related procedures and tasks.

PCA/CFSS health-related procedures and tasks may include:

The following health-related procedures and tasks are not covered under PCA/CFSS:

Note: PCA/CFSS workers cannot determine medication dosage or time for the medication.

In PCA and the CFSS agency model, the person is responsible to work with the provider agency to train and determine the competency of the worker.

In the CFSS budget model, the person is responsible to:

The PCA/CFSS provider agency is responsible to document all of the following information in the person’s service delivery plan, the person’s file and the PCA/CFSS worker’s file:

PCA and CFSS differ based on who is responsible to document this information:

In both the CFSS agency and budget models, the consultation services provider is responsible to ensure the person’s service delivery plan includes a plan for training the worker on the health-related procedure or task.

In the CFSS budget model, the consultation services provider is also responsible to have policies and procedures that outline how the consultation services provider will: