Minn. Stat. Ch. 245A, Minn. Stat. Ch. 245C, Minn. Stat. §256B.85, subd. 11, Minn. Stat. §256B.0659, subd. 16

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

Both PCA and CFSS include a shared service option.

Differences

There are no differences in the policies for shared services for PCA and CFSS, with one exception: People who share services in CFSS must use the same model (i.e., agency model or budget model).

Shared service option for PCA/CFSS: An option in which one worker supports two or three people sharing services simultaneously (i.e., at the same time).

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 person can choose to share PCA/CFSS direct care services with others if all of the following is true:

During the transition year between PCA and CFSS, a person using PCA can share services with a person using the CFSS agency model.

A person may withdraw from participating in a shared service agreement at any time. They do not receive additional units/dollars of PCA/CFSS services based on their use of the shared service option.

A PCA/CFSS worker may provide shared services to two or three people receiving services.

PCA/CFSS shared services are not covered if:

Note: If people sharing services through the CFSS agency model are also buying goods, they do not need to use the same FMS provider to buy their goods.

PCA/CFSS shared services can be delivered anywhere PCA/CFSS services can be delivered, including:

For more information, refer to CFSS Manual – PCA/CFSS covered services.

The person or their RP/representative is responsible to:

1. Tell the assessor they want to use the shared service option during their assessment.

2. Sign Home Care Shared Services Agreement (HCN or PCA/CFSS), DHS-5899 (PDF).

3. Work with anyone with whom they share services to develop training and contingency plans that address each person's needs.

4. Notify the provider agency/FMS provider if they want to stop sharing services.

The lead agency is responsible to:

1. Provide the person with information about the shared service option during the assessment.

2. Indicate if the person can use the shared service option in their assessment and in their service agreement in MMIS.

For PCA and the CFSS agency model, the PCA/CFSS provider agency is responsible to:

1. Perform usual supervision responsibilities as described on PCA Manual – Qualified professional (QP) services or CFSS Manual – CFSS provider agency evaluation of services.

2. Offer the person the option of shared services, one-to-one services or a combination of both.

3. Gather signatures from each person sharing services using the Home Care Shared Services Agreement (HCN or PCA/CFSS), DHS-5899 (PDF) and keep it in the agency file.

4. Work with the person to ensure the shared service option is appropriate based on the compatibility and coordination of the assessed needs of all people sharing services.

5. Monitor and evaluate the effectiveness and appropriateness of shared services.

6. Develop a contingency plan with each person in case one of the people sharing services is absent due to illness or other circumstances.

For a person using PCA shared services, items 4-6 are the QP's responsibility. If the QP is doing the minimum number of visits in traditional PCA after one year or in PCA Choice (i.e., one visit every six months), all visits must be in person. For more information, refer to PCA Manual – QP services.

For the CFSS budget model, the FMS provider is responsible to gather signatures from each person sharing services using the Home Care Shared Services Agreement (HCN or PCA/CFSS), DHS-5899 (PDF) and keep it in the FMS provider file.

For the CFSS agency model and budget model, the consultation services provider is responsible to review the person's individual service delivery plan as described on CFSS Manual – CFSS consultation services overview.

If the person chooses to share services, the consultation services provider must confirm that the person's plan indicates when they plan to use shared services and when they plan to use one-to-one services.