Client Forms And Information

“Who do I Call”

PCA Transfer Form

Responsible Party Plan and Agreement

Best Home Care Client Manual

Best Home Care Client Return Materials

Short Form Power of Attorney

Complaint Form

PCA Care Plan

PCA Assessments

In order to qualify for PCA Services or home health care in Minnesota you will need to complete a PCA Assessment. During the PCA Assessment, a Public Health Nurse (PHN) will ask you a number of questions to determine your need for PCA Services. If you are having a PCA Assessment in the near future, please review our article on The Minnesota PCA Assessment and review The PCA Self Assessment Tool before your appointment with the PHN. We developed these materials to help individuals understand what they need to show in order to qualify for PCA Services and what to expect at their PCA Assessment.

PCA Appeals

If you are denied PCA services or if your PCA hours are reduced, you have the right to appeal. You can use the Appeal to State Agency form to file an appeal. The PCA Appeals Self-Help Sheet explains how to appeal. If you are currently receiving home health services you can request that your services remain unchanged while the appeal is pending. It is a good idea to appeal the results of a PCA assessment if you feel it is inaccurate and does not adequately reflect you needs. If you need assistance with an appeal contact the PCA Law Center.

PCA On Demand

With PCA On Demand home care recipients can “self-staff” with mobile devices and connect with caregivers instantly! Recipients can set caregiver criteria or can get help from any available caregiver. Recipients can view caregiver profiles, cancel a visit if they think there is not a match, and leave a review after a visit is complete. By helping home care recipients access a larger pool of caregivers we can reduce and prevent gaps in care.

Advanced Directives

An advanced directive or living will says what type of medical treatment you would like to receive if you are alive but unable to make you own healthcare decisions. We provide assistance in completing Advanced Directives to our current clients for free. If you are a current client of Best Home Care and you would like assistance making a living will, contact the PCA Law Center. General information about advanced directives and free advanced directive forms appear below.

Minnesota Advanced Directive form part 1

Minnesota Advanced Directive form part 2

Suggestions for completing the Minnesota Advanced Directive form part 1

Suggestions for completing the Minnesota Advanced Directive form part 2.

Client Satisfaction Survey

We developed the following survey and regularly review the results to see how we can make our services even better.

Please take a few moments to complete our survey by clicking here.