CFSS Policy Manual

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CFSS Policy Manual

CFSS Policy Manual Eligibility Assessment Communication to physician

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PCA communication to person’s physician

Page posted: 8/26/24		Page reviewed:	Page updated:
Legal authority	Minn. Stat. §256B.0659, subd. 8
Comparison of PCA and CFSS	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 Neither PCA nor CFSS require a physician’s authorization. Eligibility is based on statute, not medical necessity. Differences In PCA, lead agencies must send a communication to the person’s physician informing the physician of the outcome of the assessment. The information on this page applies only to PCA. In CFSS, lead agencies are not required to communicate with the person’s physician.
Process	As part of the PCA assessment process, lead agencies must send a communication of assessed needs to the person’s physician after the initial PCA assessment or reassessment using Communication to Physician of PCA Services, DHS-4690 (PDF). The lead agency does not have to complete DHS-4690 in the following circumstances: · 45-day temporary increases to an existing service agreement. · 45-day temporary start of service. · Service updates if the person does not have a change in condition or assessed needs. The lead agency must complete DHS-4690 for an assessment or reassessment for services that continue after a temporary start or increase of PCA services.
Lead agency responsibilities	The lead agency is responsible to: · Conduct the PCA assessment within the required timeframe (refer to CFSS Manual – Assessment for PCA/CFSS services). · Obtain the physician’s name and mailing information. · Complete Communication to Physician of PCA Services, DHS-4690 (PDF) based on the person’s assessment results. · Keep a copy of DHS-4690 on file for the lead agency’s record. · Mail or fax the communication form to the physician.
Additional resources	CFSS Manual – Assessment for PCA/CFSS services CFSS Manual – Transition from PCA and CSG to CFSS Communication to Physician of PCA Services, DHS-4690 (PDF)

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