Everyone on PCA must move to Community First Services and Supports by September 30, 2027. Trustora carries both code sets, both plan types, and the worker rules that change with them.
The PCA to CFSS transition changes the enrollment record, the plan of care, the worker supervision rules, and the billing codes, and DHS has put PCA and CFSS claims under pre-payment review. An agency needs software that treats the CFSS service delivery plan, the 30-day and 90-day competency visits, and the HHAeXchange visit as parts of one record.
Trustora was built for Minnesota agencies making that move. Participant files hold the authorization, the plan, and the signed agreements; worker files hold training, background studies, and competency dates; and the claim is built from the verified visit.
Built on the rules
The requirement, where it comes from, and how Trustora handles it. The guides further down explain each rule in detail.
| Requirement | Source | In Trustora |
|---|---|---|
| Transition every PCA participant to CFSS by September 30, 2027 | Minnesota DHS CFSS transition | PCA and CFSS code sets run side by side; each participant's model, plan, and authorization are tracked through the switch |
| Direct-observation competency check within 30 days of hire and annual review | Minn. Stat. § 256B.85, subd. 11b | Worker files track the 30-day and 90-day visits with alerts before a date is missed |
| Service delivery plan reviewed before services start and at least annually | Minn. Stat. § 256B.85, subd. 6 | Plan versions are dated and linked to the authorization; a claim cannot be released without an approved plan |
| Time and activity records with dates, times, tasks, and signatures | Minn. Stat. § 256B.85, subd. 15 | Visit records capture the elements on the app, with the participant's signature |
| Records available for pre-payment review before payment | DHS pre-payment review, 14 high-risk services | The audit binder assembles the plan, authorization, visits, and worker qualifications for any participant and date range |
What is included
Plan contents from § 256B.85 as required fields, with reassessment reminders and versions tied to each authorization.
Training certificates, background studies, competency visits, and enrollment dates with expiration alerts and scheduling blocks.
GPS clock-in and clock-out, signatures, and automatic transmission to the aggregator.
Shifts warn or block when they fall outside the authorization period or exceed remaining units.
Eligibility, authorization, worker affiliation, EVV status, and modifiers are checked before a line is released.
Verified hours flow to payroll so the timesheet, the claim, and the paycheck agree.
FAQ
Guides
PCA to CFSS transition guide for Minnesota agencies: the September 30, 2027 deadline, DHS-8160A and DHS-8560, competency visits, and how participants move.
CFSS billing guide for Minnesota agency providers: T1019 units, T1023, S5116, service authorizations, EVV as a precondition, MN-ITS 837P, and common denials.
CFSS support worker requirements in Minnesota under § 256B.85: background study, DHS training and test, enrollment, and 30-day and 90-day competency checks.
The CFSS service delivery plan under Minn. Stat. § 256B.85, subd. 6: the 15 required contents, who develops and signs it, lead agency approval, and updates.
PCA agency software guide for Minnesota CFSS providers: HHAeXchange EVV integration, caregiver app, authorization tracking, claims, credentials, pricing.
What is CFSS? Community First Services and Supports is the Minnesota Medicaid program replacing PCA and CSG by Sept 30, 2027: models, eligibility, services.
Also for Minnesota agencies