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PCA and Homemaking Services
Personal Care Assistance (PCA)
Personal Care Assistance (PCA)
Personal Care Assistance (PCA)
Personal care assistance (PCA) services provide assistance and support for persons with disabilities, living independently in the community. This includes the elderly and others with special health care needs. PCA services are provided in the recipient’s home or in the community when normal life activities take him or her outside the home.
ELIGIBLE SERVICES
Four categories of personal care assistance (PCA) services are eligible for payment from Medical Assistance:
- Activities of daily living (ADLs)
- Instrumental activities of daily living (IADLs)
- Observation and redirection of behaviors
- Health-related procedures and tasks
A personal care assistant (PCA) may assist in these four categories of PCA services if the following criteria are met:
- The PCA care plan describes the recipient’s needed assistance
- Training of the PCA worker is specific to the person’s needs and occurs in the first 14 days of PCA service for the person (unless person has PCA Choice).
- Documentation of the individualized training regarding the needs of the recipient is in the agency file
- The PCA worker documents services rendered on the time-sheet and/or in another agency form.
PCA services may not meet all of the needs of the person. Referrals to other resources and services may be required. PCA services require prior authorization for payment.
Homemaking Services
Personal Care Assistance (PCA)
Personal Care Assistance (PCA)
Services that help a person manage general cleaning and household activities. There are three homemaker services:
- Homemaker/cleaning
- Homemaker/home management
- Homemaker/assistance with activities of daily living (ADLs).
All homemaker providers may monitor the person’s well-being while in the home, including home safety.
CLEANING
Homemaker/cleaning services include light housekeeping tasks. Homemaker/cleaning providers deliver home cleaning and laundry services. The recipient is responsible for the cost and purchase of supplies.
HOME MANAGEMENT
Homemaker/home management providers deliver home cleaning services and, while onsite, provide assistance with home management activities as needed. Home management activities may include assistance with:
- Arranging for transportation
- Laundry
- Meal preparation
- Shopping for food, clothing and household supplies
- Simple household repairs.
ASSISTANCE WITH ADL’S
Homemaker/assistance with ADLs providers deliver cleaning services and, while onsite, provide assistance with ADLs as needed. Assistance with ADLs includes assistance with the following:
- Ambulating
- Bathing
- Dressing
- Eating
- Grooming
- Toileting
245D Waiver Services
Minn Care Home Health provides services through Medical Assistance and Waiver Programs as well as private pay. Explore our services below to learn more.
Personal Care Assistance (PCA)
Basic 245D (Waiver) Services:
- Homemaking
- Cleaning
- Home Management
- Assistance with Personal Cares
- Individual Community Living Services
- Adult Companion Care
- Personal Support
- Respite Care (In-home or Out-of-home)
- 24-Hour Emergency Assistance
- Night Supervision
- Nursing Services
Housing with Services
24 Hour Emergency Assistance
A person is eligible to receive 24-hour emergency assistance if he or she meets one of the following sets of criteria:
1. The person:
- Lives in his/her own home
- Does not receive 24-hour supervision
- Would otherwise require extensive, routine supervision.
2. The person lives with a primary caregiver who would otherwise require extensive support in the absence of this service to secure help in the event of an emergency.
DEFINITIONS
24-hour emergency assistance: On-call counseling and problem solving and/or immediate response for assistance at a person's home due to a health/personal emergency.
Primary caregiver: Person principally responsible for the care and supervision of the person. He/she must maintain his/her primary residence at the same address as the person and be named as an owner or lessee of the primary residence.
COVERED SERVICES
Non-equipment
This service covers the following non-equipment services:
- Immediate response for assistance at a person’s home
- On-call counseling and problem solving.
Equipment
This service covers the following equipment services:
- Personal emergency response system (PERS) installation and testing
- PERS device and monitoring.
Companion Care
Adult companion services cover services that help a person work toward a therapeutic or community integration goal in his or her support plan. The adult companion may:
- Attend a movie with the person to practice coping skills to manage his or her social anxiety
- Go with the person to a community event to reduce his or her social isolation
- Play a board game with the person to enhance his or her fine motor skills
- Provide verbal instructions or cues to the person to help him or her complete a task
- Assist or supervise the person with tasks such as laundry, light housekeeping, meal preparation and shopping (for more information, see the secondary information section).
NON-COVERED SERVICES
Adult companion services do not cover:
- Activity fees (e.g. movie tickets)
- Assistance with activities of daily living (ADLs)
- Hands-on nursing care
- Services provided by people related to the person by blood, marriage or adoption
- Socialization that is for recreation
Night Supervision
Night Supervision services include:
- Carrying out a person’s positive support programming and transition plans
- Reinforcing independent living skills training and other skill development supports
- Assisting with instrumental activities of daily living (IADLs).
A person can receive night supervision services for no more than 12 hours in a 24-hour period.
A person cannot receive night supervision services if they duplicate other Minnesota state plan or waiver services he or she already receives.
DEFINITIONS
Night supervision services: Overnight assistance and monitoring provided by an awake staff in the person’s own home.
Own home: For night supervision services, a person’s own home means a setting the person owns, rents or leases that is not operated, owned or leased by a provider of services or supports.
Personal Support
Personal support services relate to outcomes identified in the person’s support plan when teaching and training is not necessary to achieve these outcomes, and it is the least costly assistance to reasonably meet the person’s needs.
Covered services include supervision, support or assistance with:
- Activities of daily living (ADLs)
- Accessing community services
- Developing meaningful connections with community members
- Establishing new relationships and nurturing existing ones
- Participating in community activities of the person’s choosing.
Services provided one-on-one with the person outside of his/her home must be provided in integrated community settings that enable the person to interact with people with and without disabilities to the fullest extent possible.
Personal support is provided in the person’s own home or in community settings typically used by the general public.
If a person lives in a residential setting (i.e., provider-controlled settings such as foster care or a community residential setting [CRS]), he/she can receive personal support in community settings outside the home. In this situation:
- The residential provider and personal support provider must be different
- The person cannot receive personal support in the residential setting
- The lead agency must ensure there is no duplication of services.
Respite Care
A person is eligible to receive respite if the primary caregiver is absent or needs relief from his/her caregiver duties. See the following sections for additional program-specific primary caregiver requirements.
AC and EW
Under the AC program and EW, the primary caregiver must either:
- Not be paid at all
- Be paid only for a portion of the time he/she provides care/supervision to the person.
The primary caregiver does not need to live in the same house as the person who receives services.
BI, CAC, CADI and DD
Under the BI, CAC, CADI and DD waivers, the primary caregiver must both:
- Maintain his/her primary residence at the same address as the person.
- Be the owner or leaser of the primary residence.
DEFINITIONS
Respite: Short-term care services provided to a person when his/her primary caregiver is absent or needs relief.
Primary caregiver(s): Person or people principally responsible for the care and supervision of the person who receives services.
In-home respite: Respite provided in the person’s home or place of residence.
Out-of-home respite: Respite provided outside of the person’s home or place of residence.
Individual Community Living Supports (ICLS)
Individual community living supports (ICLS) is a bundled service that includes six service categories. ICLS services offer assistance and support for people who need reminders, cues, intermittent/moderate supervision or physical assistance to remain in their own homes.
ICLS covers assistance and support for eligible people 65 years and older who use Elderly Waiver (EW) or the Alternative Care (AC) Program. It includes the following service categories:
- Active cognitive support
- Adaptive support service
- Activities of daily living (ADLs)
- Household management
- Health, safety and wellness
- Community engagement.
ACTIVE COGNITIVE SUPPORT
The “active cognitive support” category includes interventions intended to address cognitive issues and challenges important to the person. Active cognitive supports are the only ICLS services that the person can receive both in-person and remotely. For more information, see settings under secondary information. Active Cognitive Support services can be received either in person or remotely via real-time, two-way communication with the provider such as with a phone or live video.
Examples of ICLS services covered under this category include:
- Problem solving the person’s concerns related to daily living
- Providing assurance to the person
- Observing and redirecting to address behavioral, orientation or other cognitive concerns.
ADAPTIVE SUPPORT SERVICE
The “adaptive support service” category includes services intended to help the person adopt ways to meet his or her needs. ICLS adaptive support services:
- Encourage the person’s self-sufficiency
- Reduce the person’s reliance on human assistance.
Examples of ICLS services covered under this category include:
- Verbal, visual and/or touch guidance to help a person complete a task
- Developing and demonstrating cuing or reminder tools (e.g., calendars, lists)
- Providing verbal, visual and/or touch guidance to help the person complete a task
- Helping the person understand written assistive technology directions or instructions from the manufacturer or health professional so the person can maintain independence.
ACTIVITIES OF DAILY LIVING (ADL’S)
The “ADLs” category includes services intended to assist the person with ADLs.
HOUSEHOLD MANAGEMENT
The “household management” category includes services intended to help the person manage his or her home. Examples of ICLS services covered under this category include:
- Assisting with cleaning, meal planning/preparation, and shopping for household/personal needs
- Assisting with budgets and money management
- Assisting with communications (e.g., sorting mail, accessing email, placing phone calls, making appointments)
HEALTH, SAFETY, AND WELLNESS
The “health, safety and wellness” category includes services intended to help the person maintain his or her overall well-being. Examples of ICLS services covered under this category include:
- Identifying changes in health needs, and notifying the case manager and/or informal caregivers as needed
- Coordinating or implementing changes to mitigate environmental risks in the home
- Providing reminders about and assistance with exercises and other health maintenance/improvement activities
- Providing medication assistance (e.g., medication refills, reminders, administration, and/or preparation)
- Monitoring the person’s health according to written instructions from a licensed health professional
- Using medical equipment devices or adaptive technology according to written instructions from a licensed health professional.
COMMUNITY ENGAGEMENT
The “community engagement” category includes services intended to help the person have meaningful integration and participation in his or her community.
Examples of ICLS services covered under this category include:
- Facilitating the person in socially valued roles through engagement in relevant activities that lead to desired outcomes
- Helping the person access activities, services and resources that facilitate meaningful community integration and participation
- Helping the person develop and/or maintain his or her informal support system
NON-COVERED SERVICES
Adult companion services do not cover:
- Activity fees (e.g. movie tickets)
- Assistance with activities of daily living (ADLs)
- Hands-on nursing care
- Services provided by people related to the person by blood, marriage or adoption
- Socialization that is for recreation
Nursing Services
Our team of registered nurses provides you with quality care. They work closely with you, your physician, family, and caregivers to keep you safe and help prevent future injuries or illness and improve quality of life. Nursing services include:
- Conducting a complete assessment of your current condition
- Developing and implementing an individualized care plan
- Administering treatment and medications
- Working with your pharmacy on any medication changes
- Updating your physician about health changes and progress
- Directing other members of the home care team (e.g., Licensed practical nurses, home health aides, and personal care assistants.)
- Cleaning, observing, and dressing wounds
- Teaching basic tasks of care to family members
Our RNs will also help arrange for any needed equipment and supplies.
ASSISTED LIVING SERVICES
Hope Place
Fremont Place
Perry Place
Hope Place is a 4-bed home for mild and moderately disabled adults located on Flag Avenue N. in New Hope. Residents are provided residential care and person-centered training in a home like setting with established person-centered goal of teaching independence within the home and in the community.
Perry Place
Fremont Place
Perry Place
Perry Place is a 5-bed home for mild and moderately disabled adults located on Perry Avenue N. in Brooklyn Center. Residents are provided residential care and person-centered training in a home like setting with established person-centered goal of teaching independence within the home and in the community.
Fremont Place
Fremont Place
Fremont Place
Fremont Place is a 5-bed home for mild and moderately disabled adults located on Fremont Avenue N. in Brooklyn Center. Residents are provided residential care and person-centered training in a home like setting with established person-centered goal of teaching independence within the home and in the community.