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PCA Provider Checklist
Comprehensive License Checklist
245D License Checklist
Basic License Checklist
PCA Provider Checklist

PCA Provider Checklist

  1. Register your home care business through the MN Secretary of State.
  2. Obtain liability insurance, worker compensation insurance, fidelity bond and surety bond.
  3. Participate in MN Dept Of Human Services Steps For Success program (offered three times per year).
  4. Pay application fee (currently $569).
  5. Complete PCA Provider Application, including name, background check and license number of the registered nurse you have on staff.
  6. Send person in charge of billing to state training (offered monthly).
  7. You need policies and procedures that keep you in compliance with all state and federal regulations. We have put together a kit to shortcut this.
  8. The forms you need to document your business are here.
  9. Develop budget and marketing plan for your business. Click for help with this.
  10. Prepare to hire PCA employees.
  11. Accept clients to your PCA Provider company.
  12. Establish billing system to MNITS (state payment service).
  13. Schedule employees to provide care the PCA clients.
Comprehensive License Checklist

Comprehensive License Checklist

 

  1. Register home care business with Minnesota Secretary of State.
  2. Get Federal and State Tax ID Numbers and optionally, NPI number.
  3. Get Worker Compensation insurance, Liability insurance.
  4. Complete the application forms and attach agency specific policies as listed on the application.
  5. Send check for $4350.00 with your completed application.
  6. Background studies will be done on all owners and managers once application is received.
  7. License will be issued within 90 days of submitting a completed application.
  8. Notify MN Department of Health within 5 days after admitting first client.
  9. License will be temporary for one year.  You will receive permanent license after successful completion of the survey for compliance.
  10. Note:  Cannot apply for Medicare Certification with a temporary license.
  11. Can provide all services with a Comprehensive License but cannot be paid by Medicare or Medicaid for skilled services.
245D License Checklist

245D License Checklist

  1. Register your home care business through the MN Secretary of State.
  2. Obtain liability insurance, worker comp insurance, fidelity bond and surety bond.
  3. Apply for license from DHS here.
  4. Survey and compliance reports are required thru the MN Department of Health.
  5. Here are the necessary policy manual and forms packages for client services and for employee files. Staff trainings are also available.
Basic License Checklist

Basic License Checklist

  1. Register your home care business through the MN Secretary of State.
  2. Obtain liability insurance, worker comp insurance, fidelity bond and surety bond.
  3. Develop agency-specific policies and procedures.
  4. Develop training, orientation and competency evaluations of home care staff.
  5. Develop service plan.
  6. Determine housing with Services (housing is required for clients to complete the application).
  7. Submit a copy of the management agreement between the applicant and the entity providing management services (if applicable).
  8. Pay fee (currently $2,100) to Commissioner of Finance, Treasury Departmentby check.
  9. Begin care.

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