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Personal Care Assistance Program Manual

Personal care assistance (PCA) is available to eligible people enrolled in a Minnesota Health Care Program. PCA helps a person with day-to-day activities in their home and community. The goal is to help a person maximize their independence. PCA offers options to allow the service to be consumer-directed.

To find a specific PCA-related form, refer to the PCA forms page.

Transition to CFSS

CFSS is a Minnesota Health Care Program that offers flexible options to meet the unique needs of people. CFSS allows people greater independence in their homes and communities. DHS will launch CFSS on Oct. 1, 2024. For more information, refer to the May 8, 2024, eList announcement and CFSS Manual – Transition from PCA and CSG to CFSS.

The CFSS Policy Manual is a resource for lead agencies and providers who support people receiving CFSS, and it also will include PCA policy until the transition from PCA to CFSS is complete.

What’s new

Date	Section	Page	Action
8/26/24	Various	Various	DHS moved content from the PCA Program Manual to the CFSS Policy Manual, which will include PCA policy until the transition from PCA to CFSS is complete. DHS added redirects throughout the PCA Program Manual to relevant pages in the CFSS Policy Manual.
8/19/24	Provider requirements	PCA/CFSS provider agency training requirements	Updated information in the training information for current PCA agencies and new CFSS agencies sections
6/13/24	Transition to CFSS	Transition from PCA and CSG to CFSS	Made the following changes: · Updated the link to the CFSS transition process training · Added an estimated start date for Phase II: Oct. 1, 2024
5/16/24	Transition to CFSS	Transition from PCA and CSG to CFSS	Added information about the CFSS Policy Manual public comment period For more information, refer to the May 16, 2024, eList announcement.
5/8/24	Transition to CFSS	Transition from PCA and CSG to CFSS	Added Oct. 1, 2024, as the CFSS launch date For more information, refer to the May 8, 2024, eList announcement.
3/5/24	Transition to CFSS	Transition from PCA and CSG to CFSS	Made the following changes: · Updated information about driving because PCA now covers driving · Clarified information about what DHS, current PCA provider agencies and current FMS providers need to do
2/28/24	Transition to CFSS	Transition from PCA and CSG to CFSS	Updated to reflect that DHS received federal approval of the state plan amendment on CFSS For more information, refer to the Feb. 28, 2024, eList announcement.
2/14/24	Provider requirements	PCA and CSG enhanced rate/budget	Updated the PCA provider agency responsibilities section with instructions for PCA provider agencies to use their MN-ITS account to verify if a worker qualifies for the enhanced rate
2/12/24	Covered services	Covered services	Added driving provided by a PCA worker to the covered services list For more information, refer to the Feb. 13, 2024, eList announcement.
2/6/24	Qualified professional requirements	Qualified professional services	Updated the delivery method section to reflect a recent change about remote qualified professional visits For more information, refer to the Feb. 6, 2024, eList announcement.
12/15/23	Transition to CFSS	Transition from PCA and CSG to CFSS	Made the following changes: · Added a bullet point to the phase I section to indicate that DHS resubmitted an application to the federal government for approval (completed November 2023) · Updated the estimated start of phase II to 2024
12/12/23	Covered services	PCA services in home and community-based services (HCBS) settings	Posted new page For more information, refer to the Dec. 12, 2023, eList announcement.
7/3/23	Provider requirements	PCA and CSG enhanced rate/budget	Updated the additional information section to explain that stipends are available until funding has been exhausted or June 30, 2025, whichever is sooner
4/28/23	Transition to CFSS	Transition from PCA and CSG to CFSS	Added links to trainings
3/20/23	Transition to CFSS	Transition from PCA and CSG to CFSS	Added and updated links to trainings
3/15/23	Provider requirements	PCA and CSG enhanced rate/budget	Comprehensively reviewed and made the following changes: · Consolidated existing content from the PCA Manual and CBSM into one page about PCA and CSG enhanced rate/budget · Added supplemental instructions about the budget exception process for AC and EW
2/10/23	Various	· PCA provider training requirements · PCA worker standardized training · Transition from PCA and CSG to CFSS · Updates to training and test for PCA workers	Updated the link to the DHS PCA and CFSS Training and Test
12/2/22	Provider requirements	Provider agency/FMS provider requirements for enhanced rate or budget	Added a note in the additional information section that stipend funding has been exhausted, and stipends are no longer available
11/15/22	Transition to CFSS	Transition from PCA and CSG to CFSS	New page For more information, refer to the Nov. 15, 2022, eList announcement.
5/31/22	PCA worker requirements	PCA worker criteria	Reduced the eligibility for the enhanced rate from 12 hours per day of PCA to 10 hours per day, effective Jan. 1, 2022
3/22/22	PCA worker requirements	PCA worker standardized training	Made the following changes: · Updated contact information for workers not affiliated with a provider agency · Added instructions for requesting a copy of a training certificate
2/22/22	Qualified professional requirements	Qualified professional (QP) authorization	Comprehensive review with the following changes: · Updated the title to more accurately describe the page’s content · Clarified information throughout the page · Added a definition of QP
2/2/22	Qualified professional requirements	Qualified professional (QP) services	Comprehensive review with the following changes: · Clarified information throughout the page · Added definitions of QP and QP visits · Added sections about service amount, timelines, delivery method and documentation
2/2/22	Qualified professional requirements	Qualified professional (QP) criteria	Comprehensive review with the following changes: · Clarified information throughout the page · Added information about how to look up a training certificate

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Personal Care Assistance Program Manual

Transition to CFSS

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