DHS is in the process of replacing personal care assistance (PCA) and the Consumer Support Grant (CSG) with Community First Services and Supports (CFSS). For more information about this transition, refer to CFSS Manual – Transition from PCA and CSG to CFSS.

DHS must update the Medicaid Management Information System (MMIS) to allow counties/tribal nations to enter a CFSS service agreement (SA). Some fields have minor changes. For more information, refer to DSD MMIS Reference Guide – MMIS transition from PCA and CSG to CFSS.

During the transition from CSG to CFSS, the county/tribal nation follows the instructions below to enter a new SA in MMIS:

Enter the phone number of the assessor completing the assessment.

Enter the last and first name of the assessor.

Enter the date of the assessment in MMDDYY format. The SA start date cannot be prior to the assessment date.

Cashing out current PCA SA

Enter a new service agreement for CSG using the assessment date on the current PCA SA.

MMIS auto-populates the BEGIN DATE and END DATE fields on the AHC1 screen after function key F9 is used. Dates in the AGMT START/END DT fields on ASA1 must match the BEGIN DATE and END DATE on AHC1. Correct dates as needed.

Leave the nurse visit field blank.

Enter an X in the code (CD) field when combining HHA (home health aide) services with PCA.

Enter an X in the code (CD) field when combining HCN (home care registered nurse) services with PCA.

Enter an X in the code (CD) field when combining LPN (home care licensed practical nurse) services with PCA.

Enter an X in the code (CD) field in front of PC to indicate PCA.

Enter an X in the code (CD) field in front of PC SUPERVISION for supervision of PCA.

Enter the person’s primary diagnosis ICD-9 code.

Enter an ICD-9 code in the DIAGNOSIS 2 and DIAGNOSIS 3 fields when information is available.

MMIS calculates and auto-populates the HOME CARE RATING and TOTAL TIME fields after assessment fields are completed and function key F9 is used.

MMIS does not calculate the home care rating or total time when the SA date span is less than 46 days or when the person does not meet PCA access criteria.