Elderly waiver/PCA program

For Elderly Waiver Providers that provide a Tier 1 Service, such as Adult Day Care, Providers must be enrolled with the state. Please go to the DHS link below to begin the enrollment process:

Provider Enrollment

What is an Elderly Waiver Provider?

The Elderly Waiver (EW) program is a federal Medicaid waiver program that funds home and community-based services for people age 65 years and older who are eligible for Medical Assistance (MA) and require the level of care provided in a nursing home and choose to reside in the community. Eligible EW recipients can receive waiver services and/or MA services funded through HealthPartners Minnesota Senior Care Plus (MSC+) or Minnesota Senior Health Options (MSHO).

  • The cost of care for a member must be lower than the cost of care to have the member stay in a nursing home.
  • Additional information can be found on the DHS EW Services.
  • Please note that HealthPartners does not contract for Tier 1 Services. HealthPartners uses the DHS Open Network.

Providers who are considered eligible to provider Tier 1 EW Services will be listed on the Minnesota Help website. You may access the website via the link Minnesota Help Info.

What services are considered to be EW services?

As defined by DHS, services include, but not limited to, the following:

Tier 1
  • Adult Day Care
  • Companion Services
  • Home-delivered meals (i.e. Meals on Wheels)
  • Homemaker Home Management
  • Homemaker ADL Assistance
  • Respite Care
Tier 2
  • Chore Services
  • Home Modifications/Environmental Accessibility Adaptations
  • Homemaker-Cleaning Only
  • Transition Services/EW related supports
Tier 3
  • Family Training & Counseling
  • Home & Vehicle Modification
  • Transitional Service items & Expenses

How do I become a contracted EW Provider for Tier 2 or Tier 3 Services?

In order to be considered for a contract for Tier 2 or Tier 3 EW Service, the provider/vendor must:

  • Must be licensed with DHS for applicable service types
  • Be able to meet HealthPartners quality standards
  • Have completed criminal background checks for all employees

Tier 1 Providers must be enrolled with DHS and once enrolled are considered in network. Direct contracting not required.

Interested providers/vendors may complete a Provider Contract Inquiry for consideration

I'd like to provide EW services to a HealthPartners Member:

Please contact HealthPartners Member Services to obtain benefit information and for direction on providing care at:

    Local: (952) 883-7979
    Toll Free: 1-800-233-9645

Additional information for HealthPartners MSHO is also available.

What is a Personal Care Assistance provider?

The Personal Care Assistance (PCA) program is a self-directed program which allows individuals real choices and control over their personal care services. It is designed to help individuals who are elderly (over age 65), individuals with disabilities of all ages, individuals with chronic health conditions that are eligible for Medical Assistance (MA) or MinnesotaCare Expanded benefits (for pregnant women or children under the age of 21) to maintain their independence in their homes, at school, or at work.

The Personal Care Assistant (PCA) is the person who provides assistance and support to the recipient with disabilities that need help with their activities of daily living through hands on assistance, supervision, redirection/intervention of behaviors including observation and monitoring. A PCA is limited to providing and being paid for up to 275 hours per month of PCA regardless of the number of recipiebncts being servied or the number of PCA provider agencies enrolled with.

PCA agencies must enroll individual PCAs with MHCP and affiliate individual PCAs with their agencies.

What Services are considered to be PCA Services?

As defined by DHS, services include. but not limited to, the following:

  • Activities of daily living (ADLs): Bathing, dressing, toiletting, grooming assistance, eating, etc.
  • Health-related procedures and tasks
  • Observation and redirection of behaviors
  • Instrumental activities of daily living (IADLs): Assist with paying bills, plan and prepare meals, etc.

Providing PCA services to a HealthPartners Member:

Please contact HealthPartners Member Services to obtain benefit information and for direction on providing care at:

    Local: (952) 883-7979
    Toll Free: 1-800-233-9645

HealthPartners PCA Network:

Currently HealthPartners PCA Network is closed.