Playback Speed
CFSS policy training Current PCA agency owners, managers and qualified professionals
CFSS policy training Current PCA agency owners, managers and qualified professionals
Activities of daily living (ADLs) are tasks that people need to do in order to remain independent in the community. PCAs support people as they carry out ADLs. CFSS workers will do the same. The eight ADL tasks covered by PCA and CFSS are: eating, dressing, grooming, bathing, toileting, mobility, positioning and transfers.
A lead agency assessor performs an assessment for each person using PCA or CFSS every year and if the person has a change in condition. The assessment determines if the person is eligible for PCA or CFSS and how many units the person is eligible for.
FMS providers support a person using the budget model and also people using the agency model who purchase goods and services.
People who use PCA can use their units flexibly throughout the year. People on the Minnesota Restricted Recipient Program (MRRP) cannot use flexible use. In CFSS, there will be even more flexibility in how people use their units.
Instrumental activities of daily living (IADLs) are activities related to living independently in the community, such as: meal planning, preparation and cooking; shopping for essential items; laundry; managing finances and communicating.
CFSS will continue to cover IADLs.
The lead agency is the county, tribal nation or Managed Care Organization (MCO) that conducts the person’s assessment. The lead agency conducts the assessment in both PCA and CFSS.
MnCHOICES is a computer-based comprehensive assessment. The person’s lead agency uses MnCHOICES to assess the person’s eligibility for a wide variety of supports in one assessment.
For the purposes of receiving PCA or CFSS, the State defines living in one’s “own home” as not living in a hospital, nursing home, intermediate care facility or foster care setting licensed for more than six people.
The person does not need to own the home. For example, the person might rent the home. They might also live with a family member, friend or roommate.
The home does not need to be a house. It can also be a condo, apartment or other non-institution living arrangement.
In PCA Choice, the person using PCA is responsible for recruiting, hiring, training and dismissing staff.
The CFSS budget model has some similarities to PCA Choice, but includes more responsibilities.
Some lead agencies still use the PCA legacy assessment, a paper-based assessment that only assess the person’s eligibly for PCA services. All lead agencies will eventually transition to using the MnCHOICES assessment.
A personal care assistant (PCA) provides services covered under M.S. 256B.0659 that enable the person the PCA supports to remain independent in the community. CFSS workers will perform similar tasks.
In popular usage, PCA can refer to many individuals who provide supports similar to the supports a PCA provides. When DHS refers to PCAs, we always mean PCAs providing covered services in the official PCA program.
Qualified Professionals (QPs) help the person develop the care plan, monitor services and evaluate care. QPs must perform regular visits to ensure the quality of PCA services for each person. Some QP functions are optional in PCA Choice.
In CFSS, the duties performed by a QP will be performed by consultation services and supervising professional(s) at the provider agency.
DHS anticipates most PCA agencies will have their current QPs serve as supervising professionals.
A Responsible Party (RP) directs care on behalf of the person if the person cannot direct care. A person cannot direct care if: that person Is a minor, that person has a court appointed guardian, an assessor determines the person cannot direct care.
In CFSS, the responsible party will be called the participant’s representative.
A service delivery plan describes the person’s plan for how to use PCA services. All people who use PCA must have a service delivery plan. People using CFSS will also need a service delivery plan.
Service Employees International Union (SEIU) Healthcare Minnesota is a union that represents workers in PCA Choice and other programs. PCA Choice agencies must comply with the terms of the current collective bargaining agreement. In CFSS, workers in the budget model will be part of the SEIU collective bargaining unit. Financial Management Services providers will be responsible for compliance.
In shared care, two or three people who use PCA services can choose to have one PCA provide supports to them at the same time. Share care will continue in CFSS.
A statute is a law that describes what is and is not allowed.
In traditional PCA, the agency is responsible for recruiting, hiring, training and dismissing staff. In CFSS, the provider agency is always responsible for these tasks for someone on the agency model.
DHS assigns each PCA a Unique Minnesota Provider Identification (UMPI) when the PCA enrolls with DHS. When you bill for covered services the PCA provides, you enter that PCA’s UMPI number. This will continue in CFSS.
Each person who uses PCA is eligible for a certain number of units. Each unit is for fifteen minutes of covered PCA services. This will continue in CFSS.
Minnesota has five waivers for people that need supports beyond what PCA covers to remain independent in the community. The five waivers are: Brain Injury (BI) waiver, Developmental Disabilities (DD) waiver, Elderly waiver (EW), Community Alternative Care (CAC) waiver, Community Access for Disability Inclusion (CADI) waiver.
Alternative Care (AC) is another program that serves people over 65.
Like PCA, some people on a waiver or in the alternative care program will use CFSS.
You are offline. Trying to reconnect...