Medical, Dental & Pharmacy
- Medical
- Ambulatory Surgical Services
- Children's Services
- Chiropractic
- Clinic Services
- Community First Services and Supports (CFSS)
- Early Intensive Development and Behavioral Intervention (EIDBI)
- Equipment and Supplies
- HCBS
- Hearing Services
- Home Care Services
- Hospice Services
- Hospital Services
- Housing Stabilization Services
- Immunizations and Vaccinations
- Laboratory/Pathology, Radiology, and Diagnostic Services
- Language Interpreter Services
- Long-Term Care
- Medication Reconciliation
- Mental Health Services
- Optical Services
- Personal Care Assistance (PCA) Services
- Physician and Professional Services
- Recuperative Care
- Rehabilitation Services
- Renal Dialysis
- Restricted Recipient Program
- School-Based Community Services
- Substance Use Disorder
- Telehealth Services
- Transportation
- Tribal and Federal Indian Health Services
- Dental
- Pharmacy
Individual PCA Requirements
The individual PCA must:
- Enroll with PrimeWest Health as a provider of PCA services
- Enroll with Minnesota Health Care Programs (MHCP) as a provider of PCA services
- Be at least 18 years old, with the following exceptions:
- If the individual PCA is age 16 or 17, the individual PCA must have either:
- Participated in a related school-based job training program; or
- Completed a certified HHA competency evaluation
- Work for only one PCA agency responsible for compliance with current labor laws
- Supervised by a qualified professional every 60 days
- If the individual PCA is age 16 or 17, the individual PCA must have either:
- Successfully complete at least one of the following training requirements before providing services:
- Nursing assistant program
- Equivalent nursing assistant competency (tested and passed by state Board of Vocational Education)
- Homemaker, HHA pre-service program
- Accredited licensed RN/LPN educational program
- Training program for required skills necessary to perform covered PCA services
- Undergo background study requirements specified in MN Stat. Chap. 245C
- Understand the PCA care plan
- Understand the member’s needs
- Provide covered PCA services according to the care plan
- Understand safety issues, including how to access emergency assistance
- Report changes in the member’s condition
- Be able to communicate with the member
- Not be the responsible party
- Not be a recipient of MHCP personal care services
- Not be a corporate legal guardian
PCA Hour Limits
MN Stat. sec. 256B.0659, subd. 11 mandates the number of hours an individual PCA can provide services each month. Because this is a legislative action, it applies to all health plans, including PrimeWest Health.
Effective October 2020, the allowance for individual PCAs to work 310 hours per month under COVID-19 authority was made permanent by the Minnesota Legislature (MN Stat. 256B.0659, subd. 11[a][10]).
PW_11-19_577
Updated_07/25/2023

