This list includes typical PCA/CFSS services and is not exhaustive. If you have questions as to whether the services your organization provides are included in PCA/CFSS cost reporting, send an email to DHS.costreport@state.mn.us.
| Service type | Service | Unit | HCPC/Modifiers | Procedure ID |
|---|---|---|---|---|
| Personal Care Assistance Services | Personal Care Services (1:1) | 15 Minute | T1019 | T1019A |
| Personal Care Assistance Services | Personal Care Services (1:2) | 15 Minute | T1019 - TT | T1019E |
| Personal Care Assistance Services | Personal Care Services (1:3) | 15 Minute | T1019 - HQ | T1019B |
| Personal Care Assistance Services | Personal Care Services - Complex (1:1) | 15 Minute | T1019 - TG | T1019N |
| Personal Care Assistance Services | Personal Care Services - Complex (1:2) | 15 Minute | T1019 - TT - TG | T1019O |
| Personal Care Assistance Services | Personal Care Services - Complex (1:3) | 15 Minute | T1019 - HQ - TG | T1019P |
| Personal Care Assistance Services | Personal Care Services - Extended (1:1) | 15 Minute | T1019 - UC | T1019K |
| Personal Care Assistance Services | Personal Care Services - Extended (1:2) | 15 Minute | T1019 - UC - TT | T1019G |
| Personal Care Assistance Services | Personal Care Services - Extended (1:3) | 15 Minute | T1019 - UC - HQ | T1019D |
| Personal Care Assistance Services | Personal Care Services - Extended - Complex (1:1) | 15 Minute | T1019 - UC - TG | T1019S |
| Personal Care Assistance Services | Personal Care Services - Extended - Complex (1:2) | 15 Minute | T1019 - UC - TG - TT | T1019T |
| Personal Care Assistance Services | Personal Care Services - Extended - Complex (1:3) | 15 Minute | T1019 - UC - TG - HQ | T1019U |
| Personal Care Assistance Services | Supervision of PCA Services | 15 Minute | T1019 - UA | T1019J |
| Community First Services and Supports | Agency - CFSS Extended Services (1:1) | 15 Minute | T1019 - U9 - UC | T2019BH |
| Community First Services and Supports | Agency - CFSS Extended Shared Care (1:2) | 15 Minute | T1019 - U9 - UC - UN | T1019BI |
| Community First Services and Supports | Agency - CFSS Extended Shared Care (1:3) | 15 Minute | T1019 - U9 - UC - UP | T1019BJ |
| Community First Services and Supports | Agency - CFSS Extended Services - Complex (1:1) | 15 Minute | T1019 - U9 - UC - TG | T2019BK |
| Community First Services and Supports | Agency - CFSS Extended Shared Care - Complex (1:2) | 15 Minute | T1019 - U9 - UC - UN - TG | T1019BL |
| Community First Services and Supports | Agency - CFSS Extended Shared Care - Complex (1:3) | 15 Minute | T1019 - U9 - UC - UP - TG | T1019BM |
| Community First Services and Supports | Agency - CFSS Services (1:1) | 15 Minute | T1019 - U9 | T1019BB |
| Community First Services and Supports | Agency - CFSS Shared Care (1:2) | 15 Minute | T1019 - U9 - UN | T2019BC |
| Community First Services and Supports | Agency - CFSS Shared Care (1:3) | 15 Minute | T1019 - U9 - UP | T1019BD |
| Community First Services and Supports | Agency - CFSS Services - Complex (1:1) | 15 Minute | T1019 - U9 - TG | T1019BE |
| Community First Services and Supports | Agency - CFSS Services Shared Care - Complex (1:2) | 15 Minute | T1019 - U9 - UN - TG | T2019BF |
| Community First Services and Supports | Agency - CFSS Services Shared Care - Complex (1:3) | 15 Minute | T1019 - U9 - UP - TG | T2019BG |
| Community First Services and Supports | Agency - Continuation of Benefits (1:1) | 15 Minute | T1019 - U9 -U4 | T1019BZ |
| Community First Services and Supports | Agency - Continuation of Benefits - Shared Care (1:2) | 15 Minute | T1019 - U9 - UN - U4 | T1019CB |
| Community First Services and Supports | Agency - Continuation of Benefits - Shared Care (1:3) | 15 Minute | T1019 - U9 -UP - U4 | T1019CC |
| Community First Services and Supports | Agecny - Continuation of Benefits - Complex (1:1) | 15 Minute | T1019 - U9 - U4 - TG | T1019CD |
| Community First Services and Supports | Agency - Continuation of Benefits - Complex - Shared Care (1:2) | 15 Minute | T1019 - U9 - UN - U4 - TG | T1019CE |
| Community First Services and Supports | Agency - Continuation of Benefits - Complex - Shared Care (1:3) | 15 Minute | T1019 - U9 - UP - U4 - TG | T1019CF |
| Community First Services and Supports | CFSS Worker Training & Development (Agency Training)Year | Yearly | S5116 - U9 | S5116D |
| Community First Services and Supports | CFSS Worker Training & Development (Formal Training) | Yearly | S5116 - U9 - UD | S5116E |
