A personal care assistant (PCA) helps with daily living tasks, such as eating, bathing, using the bathroom and getting dressed. Sometimes, a PCA may do other things like cook or light cleaning. A PCA can help you live independently. The specific services you get from a PCA depend on your assessment results and preferences.
In this section, see common questions about PCA services.
You can hire your own PCAs if you're using PCA Choice. If you're using traditional PCA, you can still suggest a PCA to your agency.
If you're eligible for a waiver, another program called Consumer Directed Community Supports (CDCS) allows you to hire similar workers.
Beginning October 1, 2024, a PCA may provide services to a person if they are the:
Spouse
Parent, stepparent, or legal guardian of a minor
The parent of an adult can already serve as their adult child's worker.
You must meet the worker criteria to be a PCA and you must be hired by a PCA provider agency.
You do not need to wait for your spouse or child's annual reassessment to start as their PCA. You can start October 1, if you are enrolled with their PCA provider agency.
A PCA may not provide services to a person if they are the person's:
Paid legal guardian
Responsible party (an individual who makes decisions on behalf of a person who cannot, such as a minor child)
Qualified professional (an employee of the PCA agency who helps ensure the PCA worker is trained and qualified)
To become a PCA, you must complete a PCA training course and pass a one-time online test offered by the Minnesota Department of Human Services (DHS). When you pass the test, you'll receive a PCA/CFSS certificate (which you should keep as proof of passing the PCA/CFSS test). Get the details on PCA training. If you're interested in additional training, you can take online classes through the College of Direct Support.
When you're ready to look for PCA work, you can apply directly to provider agencies. Check MinnesotaHelp to find PCA provider agencies.
You'll need to pass a background check before you can be paid to provide PCA services. If you enroll with a provider agency, the agency may require additional training.
If you know the person you want to provide PCA services for, you must still meet all the qualifications for PCAs, including passing a background study and enrolling with DHS. This includes family members.
Community First Services and Supports (CFSS) is a Minnesota health care program that offers flexible options to meet the unique needs of people. It allows for greater independence in their homes and communities.
CFSS will replace personal care assistance (PCA) and the Consumer Support Grant (CSG).
