Minnesota Personal Care Assistant (PCA)
PCA Eligibility Requirements:
- Level 1 behavior, or
- 1 activity of Daily Living (ADL) dependency, or
- 1 ADL dependency and Level 1 behavior
are only eligible for 2 units (30 minutes) of PCA services per day.
Persons who qualify as dependent in at least 2 activities of daily living (ADLs) will continue to receive services as they did prior to July 1, 2011, unless their condition or assessment changes.
To qualify you must be assessed as having :
- a dependency in 1 Activity of Daily Living and/or level 1 behavior is required to qualify for 30 minutes per day for PCA services; or
- a dependency in 2 ADLs is required to receive more than 30 minutes of PCA services per day under the home care rating system in effect since January of 2010.
The Department of Human Services’ Consumer Information provides resources that can help you find:
- Training PCAs
- Role of the PCA
- Traditional PCA vs PCA Choice
- Consumer safeguards
To find a list of PCA providers in your area, search under “Personal Care Services” in the Minnesota Health Care Program's Provider Directory.
Definition of Dependency and ADL:
- Dependency requires hands-on physical assistance, cuing, or constant supervision to complete the task.
- Activities of Daily Living (ADLs) include:
Definition of Level 1 Behavior:
Level I Behavior is behavior that requires the immediate response of another person, has occurred in the last 12 months with supporting documentation from professionals such as doctors, nurses, teachers, therapists, etc., and involves at least one of the following:
- Physical aggression towards self
- Physical aggression towards others
- Destruction of property
Face-to-face reassessments are scheduled annually. DHS will send a letter of notification to PCA recipients explaining the reassessment process. If the recipient’s medical or behavioral status changes prior to the annual review date, contact the county Disability services office and ask to speak with a person regarding reassessing PCA services.
Remember, you have the right to appeal any decision (whether termination or reduction of PCA services) within 30 days of receiving a decision from DHS. You may also request to have a Long-term Care Consultation (LTCC) at your reassessment to help you identify other services to meet your needs.
Staff from PACER’s Health Information Center and the MN Disability Law Center recently presented “PCA Services: Assessment, Eligibility and Appeals.” An outline of the presentation is available here.
Additional PCA Resources:
Minnesota Department of Human Services
Personal Care Assistance (PCA) Program – gives an overview of PCA services.
PCA Phase II Project – provides details of the legislative changes, including timelines for reassessment and new criteria for eligibility.
PCA Assessment and Service Plan Instruction and Guidelines – outlines questions and details that determine eligibility and explains the assessment process to receive PCA services. This document is helpful for parents or guardians to read prior to an assessment.
Minnesota Disability Law Center
MN Disability Law Center: PCA Changes Web Resource – provides information and links to more information and legislation for PCA services.
To learn more about PCA changes and services, contact PACER’s Health Information Center at (952) 838-9000 or (800) 53-PACER, toll free in Minnesota.