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Personal Care Assistance

Qualified professional visits

Page posted: 5/26/2011

Page reviewed:

Page updated: 8/12/13

Legal Authority

Minn. Stat. §256B.0659 subd. 11(a)(9), subd. 13 and subd. 14

Definition

Qualified professional visit: A visit by the QP, at the location where PCA services are being delivered, to conduct qualified professional services including:

  • • Develop the care plan
  • • Orient, train and evaluate individual PCA staff
  • • Oversee the delivery of PCA services
  • Policy

    The PCA provider agency must provide QP services for all PCAs and recipients.

    After 180 days of service, the QP may alternate face-to-face visits with telephone or Web visits with the recipient and responsible party.

    Traditional PCA Visits

    For traditional PCA the QP must develop the initial care plan with the recipient and responsible party, at the location where PCA services are being delivered.

    The QP must train and orient regularly scheduled PCAs on the needs of the person at the location where PCA services are being delivered. The QP must evaluate regularly scheduled PCAs within the first 14 days of providing services to the recipient, at the location where PCA services are being delivered. The QP must use professional judgment to determine the number of visits needed to ensure quality care. The QP may conduct additional training and evaluation visits if needed.

    The QP must visit the location of service delivery and meet with the recipient and responsible party to oversee the delivery of PCA services at least:

  • • Every 90 days for the first year of service
  • • Every 120 days after the first year of service
  • PCA Choice Visits

    The QP may orient, train and evaluate individual PCAs at the request of the recipient/responsible party.

    The QP must visit the location of service delivery and meet with the recipient and responsible party to oversee the delivery of PCA services at least every 180 days.

    16 and 17 year old PCA Visits

    For both traditional and PCA Choice, the QP must evaluate the performance of 16 and 17 year old PCAs every 60 days, at the location where PCA services are being delivered.

    Shared Service Visits

    For both traditional and PCA Choice, in addition to the other visit requirements, the QP must visit the location of shared service delivery every 180 days. QP responsibilities for the supervision of shared services are detailed in Shared Service Option for PCA.

    Health Plan Responsibilities

    Health plans have the authority to require all QP visits to be conducted face-to-face. PCA provider agencies must check with the recipient’s health plans to see if they allow for QP visits to be done telephonically or by Web visits.

    Additional Information

    Care plan
    QP services

    QP unit increases

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