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This agreement must then be kept in the recipient’s file. All parties involved, including the PCA, must participate in training relating to shared care services. Finally, shared care services simultaneously provided to two separate recipients must be provided through the same Agency; in other words, a PCA cannot provide shared care services to two separate recipients through two separate agencies. 4 62-CR-26-1821 Filed in District Court State of Minnesota 3/19/2026 Both a PCA and the recipient are required to accurately document the time the PCA spends with a recipient on a timesheet and sign the timesheet to verify that services were provided.
The timesheets include documenting any shared care services provided by designating whether services were provided on a one to one, one to two, or one to three ratio. The PCA then submits the timesheet to the Agency, which bills DHS for PCA services based on the information reported in the timesheet. Like PCA services, providers offering homemaker services must document the actual services performed on a timesheet that is verified by the provider. The timesheets are then submitted to the HCBS agency who bills DHS for the services based on the information reported on the timesheet.
Any homemaker services are separately documented from PCA services. B. Waivered Services DHS also contracts with health care providers that provide Home and Community-Based Services (HCBS), also sometimes referred to as 245D services or waivered services, for Medicaid recipients. HCBS services are provided to persons with disabilities and the elderly who are eligible to receive the services and are individually assessed to require the services. HCBS services include, but are not limited to, Homemaker services.
Homemaker services involve home management and cleaning needs provided by an individual in the recipient’s own home. II.