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.

For a Medicaid Management Information System (MMIS) transition summary, refer to DSD MMIS Reference Guide – MMIS transition from PCA and CSG to CFSS.

Similarities

There are no similarities between PCA and CFSS on the ASA3 screen for consultation services.

Differences

A person does not use consultation services in PCA. The ASA3 screen for consultation services only applies to CFSS.

The county/tribal nation enters lines for the person’s specific services on the ASA3 screen. This page describes how to enter a consultation services (T1023) line for a person who uses CFSS. For information and instructions about other ASA3 line types, refer to DSD MMIS Reference Guide – ASA3 screen overview.

The county/tribal nation enters a consultation services (T1023) line for all people who use CFSS. If the county/tribal nation does not enter a consultation services (T1023) line, MMIS posts an exception code the county/tribal nation must resolve.

Person who currently uses PCA

When a person who currently uses PCA is eligible for and selects CFSS, the county/tribal nation authorizes six months of PCA, including a personal care (T1019) line, PCA worker supervision/training (T1019 – UA) line and consultation services (T1023) line. After the county/tribal nation approves the person’s CFSS service delivery plan, the county/tribal nation enters a new SA with the CFSS services.

Person who does not currently use PCA

When a person new to services is eligible for and selects CFSS, the county/tribal nation authorizes consultation services (T1023) only. After the county/tribal nation approves the person’s CFSS service delivery plan, the county/tribal nation adds lines for the other services the person selected.

In the optional LI COMMENTS field, the county/tribal nation enters additional clarifying information, if desired. This comment appears in the person’s letter and the provider’s letter.

In the PROC field, the county/tribal nation enters the consultation services procedure code (T1023).

Note: If the county/tribal nation enters a CFSS SA without a consultation services (T1023) line, MMIS posts an exception code the county/tribal nation must resolve.

The county/tribal nation leaves the MOD1-4 field blank. A consultation services (T1023) line does not use this field.

Claims-only modifiers

The county/tribal nation cannot enter the following claims-only modifiers:

The consultation services provider only uses these modifiers to provide additional information for authorization and billing.

In the START/END DT fields, the county/tribal nation enters start and end dates in MMDDYY format. Start and end dates indicate when the line starts and ends. The dates must be within the agreement start and end dates (AGMT START/END DT fields) on the ASA1 screen.

In the REQ RATE/UNIT field, the county/tribal nation enters the requested reimbursement rate for CFSS consultation services found on DHS – CFSS codes and rates.

In the REQ TOT UNITS field, the county/tribal nation enters 6. This field lists the total number of units for the specific line.

MMIS auto-populates the REQ TOT AMT field when the county/tribal nation presses function key F9. The REQ TOT AMT field lists the total amount the county/tribal nation authorizes for the service based on the entries in REQ RATE/UNIT and REQ TOT UNITS fields.

In the PROV NBR field, the county/tribal nation enters the provider number for the provider the person will use for this service.

If the person has selected a consultation services provider, the county/tribal nation enters the provider’s National Provider Identifier (NPI) number or Unique Minnesota Provider Identifier (UMPI) number.

If the person has not selected a provider, the county/tribal nation enters:

For more information, refer to DSD MMIS Reference Guide – Finalize a type B service agreement for PCA/CFSS.

Find a provider number in MMIS

If the person’s service delivery plan does not list the provider number, refer to Instructions for Completing and Entering the LTCC Screening Document and Service Agreement into MMIS, DHS-4625 (PDF).

MMIS auto-populates the PROV NAME field when the county/tribal nation presses function key F9. This field lists the provider name based on the provider number the county/tribal nation enters in the PROV NBR field. The county/tribal nation cannot edit this field.

MMIS auto-populates the SHR field. If the county/tribal nation edits this field, MMIS overwrites their entry.

The county/tribal nation cannot edit the FREQ field.

In the RSN CD field, the county/tribal nation enters legal notice language to add to the SA when needed. If the county/tribal nation makes changes specific to consultation services, they enter the appropriate reason codes in this field. For more information, refer to DSD MMIS Reference Guide – ASA3 screen overview.

MMIS reason code text

For a list of MMIS reason codes, refer to DSD MMIS Reference Guide – Type B home care service agreement MMIS reason codes.

If the county/tribal nation needs to enter more lines, they press function key F11 to display the next blank line. MMIS displays only two lines per page.

After the county/tribal nation enters all lines, they press a transmit key to advance to the AHC1 screen.