Personal Care Assistance

The following tools are available to personal care assistance (PCA) providers in working with Medica, to ensure that all administrative processes are followed and that claims related to PCA services are paid as efficiently as possible.

Personal Care Assistance

All Medica DUAL Solution members (enrolled in Minnesota Senior Health Options, or MSHO) and Medica Choice Care MSC+ (enrolled in Minnesota Senior Care Plus, or MSC+) are assigned a Care Coordinator. Please contact the member’s Care Coordinator directly for PCA requests and changes. To obtain the contact information for the member’s assigned Care Coordinator, contact Medica Provider Service Center.

Payments for Personal Care Assistance Services

For efficient payment related to PCA services, PCA providers are encouraged to keep their demographic information as up-to-date as possible with Medica by using the Provider Demographic Update Online Tool (PDOT).

See the PDOT User Guide to learn more (PDF)
Log in to use PDOT

Non-Participating PCA Providers

Members who are new to Medica and have been receiving PCA services at the time of enrollment with Medica can continue to receive PCA services from a non participating/out of network PCA provider for up to 120 days. Medica does not want members’ PCA services interrupted due to their enrollment with Medica.

Non-Participating PCA Provider Billing Process for MSHO (Medica DUAL Solutions) and MSC+ (Medica ChoiceCare) Members (PDF)

REV 12/2023