PCA - Forms - Minnesota Department of Human Services (DHS) 2025

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The document is a form for requesting technical changes to existing Personal Care Assistance (PCA) service authorizations in Minnesota. It outlines the process for submitting requests, including changes in provider, eligibility updates, and other modifications. The form requires specific member and provider information, as well as signatures when applicable.

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How to apply for a PCA in MN?

How do I apply for the PCA program? Contact your county social services office to find out how to set up an assessment. Tell them if you need an interpreter. You can also get information and help from the Senior LinkAge Line at 1-800-333-2433 or Disability Hub MN at 1-866-333-2466.

What is a PCA form?

A Property Control Authorization Form is required for all Departmental transfers and to record missing, lost, or stolen assets.

What is the pay rate for a PCA in MN?

As of Mar 18, 2025, the average hourly pay for a Pca in Minnesota is $14.16 an hour. While ZipRecruiter is seeing salaries as high as $17.89 and as low as $8.95, the majority of Pca salaries currently range between $12.02 (25th percentile) to $16.01 (75th percentile) in Minnesota.

How does a person qualify for a PCA?

But typically, you are eligible if you would not be able to live in your own home without receiving assistance with ADLs (activities of daily living) and/or IADLs (instrumental activities of daily living).

What requirements are needed for PCA?

How To Become A PCA: Skill Education Requirements Obtain Necessary High School Diploma or Equivalent Education Level. Complete State-Approved Training Programs for Personal Care Aides. Acquire First Aid and CPR Certifications to Enhance Safety Skills. Develop Interpersonal Skills to Connect with Clients Effectively.

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Does PCA need to be documented?

PCA agencies must have documentation supporting that the service has been provided for both individual PCA and QP services.

How to qualify for PCA services in MN?

To be eligible to receive PCA Services, you must: Live in the state of Minnesota. Be eligible to receive medical assistance or MinnesotaCare (i.e. pregnant women and children under 21 years of age) Be able to make decisions about your care or have someone who can make decisions for you.

PCA - Forms - Minnesota Department of Human Services (DHS) 2025

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What is a PCA form?

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What requirements are needed for PCA?

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Does PCA need to be documented?

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