Personal Care Assistant (PCA)
PCA Services Require a Physician Statement of Need: See Provider Update PCA-06-02 here. (5/3/06)
PCA Flexible Use Option Changes: See Provider Update PCA-06-01 here. (5/3/06)
Personal Care Assistant (PCA) Application
(PW 2007 067R 07_2008)
Claim Submission Requirements: Effective with service dates on or after May 1, 2006 all claims submitted for services rendered by a PCA shall have the professional information on the claim and their professional identification number in Box 24k on the CMS-1500 claim form. Claims submitted without this information will be denied as "Attending Provider Required" (denial code 119).
For clarification: The attending professional is the personal care attendant, and the professional ID is their provider ID number issued by the State of Minnesota, Department of Human Services (DHS).
A valid diagnosis code is also required for PCA services, consistent with MN DHS billing requirements. (06/06/06)