PCA Manual

Skip To: Main Content | Subnavigation |

PCA Manual

PCA Manual Eligibility Eligibility

Find in Table of Contents:

Eligibility for PCA services

Page posted: 11/04/13		Page reviewed: 10/2/19	Page updated: 9/21/21
Legal authority	Minn. Stat. §256B.0659, Minn. Stat. 256B.0652, subd. 10
Eligibility criteria	Personal care assistance (PCA) services are available to people who receive Medical Assistance (MA) and people enrolled in MinnesotaCare who are pregnant or 18 years old or younger. A person is eligible for PCA if they: · Are able to identify their needs, or have a responsible party act on their behalf (see PCA Manual – Responsible party) · Are assessed as eligible for PCA (i.e., one dependency in an activity of daily living and/or level I behavior) · Are assessed to need PCA services to live in the community · Manage their support staff and the delivery of their services to ensure their health and safety, or have a responsible party who is able to do so · Develop a service plan with assistance from the lead agency assessor · Have a current and approved service agreement for PCA services · Live in a home setting (Note: The setting may not be a hospital, nursing facility, intermediate care facility for persons with developmental disabilities, health facility licensed by the Minnesota Department of Health or foster care setting licensed for more than six residents, unless DHS grants a variance that allows the foster care provider to exceed six people for a sibling group). People who participate in Minnesota Senior Health Options (MSHO) or Minnesota Senior Care Plus (MSC+) receive authorization for PCA services from their health plan. All other people who receive MA or are enrolled in MinnesotaCare receive their authorization from their county or tribal agency.
PCA, waivers and AC	PCA services are available to people enrolled in the following programs: · Alternative Care (AC) program · Brain Injury (BI) Waiver · Community Access for Disability Inclusion (CADI) Waiver · Community Alternative Care (CAC) Waiver · Developmental Disabilities (DD) Waiver · Elderly Waiver (EW).
Enhanced rate	People who receive PCA services might be eligible for an enhanced rate. For more information, see: · CBSM – PCA and CSG enhanced rate/budget process (information for counties and tribal nations) · DHS – Enhanced rates and training stipends for support workers (information for workers) · PCA Manual – Provider agency/FMS provider requirements for enhanced rate or budget (information for PCA provider agencies and FMS providers).
Additional resources	Long-Term Services and Supports Service Rate Limits, DHS-3945 (PDF) PCA Decision Tree: Home Care Rating/Base Unit Determination, DHS-4201 (PDF) PCA Manual – Assessment PCA Manual – Responsible party

Report this page