PCA CHOICE

Independent Lifestyles, Inc.
A Center for Independent Living
 www.independentlifestyles.org
519 2nd Street N. – St. Cloud, MN 56303
(320) 529-9000  (888) 529-0743

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 


 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Text Box: Your Responsible Party needs to find PCA’s who are willing to work for you when you need someone and train them on your personal needs.  Training your PCA’s includes instructing them on your care plan and vulnerable adult training. Your Responsible Party needs to do the hiring for all PCA staff working for you.  This includes all the paperwork that is involved.  ALL of the paperwork needs to be returned BEFORE your PCA will be able to work for you. PCA/ QP Packet Includes: W-4 Employment Eligibility Form (I-9) ~ Copy of Social Security Card ~ Copy of Drivers License Affirmative Action Form Background Check Form MHCP PCA Enrollment PCA/ QP Payroll Data Sheet Direct Deposit Authorization Form Direct Deposit Refusal Procedure Agreement for PCA Choice Provider & PCA --or Agreement for PCA Choice Provider & QP PCA Time Sheet     You can call ILICIL for new packets if you need them, but make sure ALL of the paperwork is complete before returning the packet.  This reduces the chance of paperwork getting misplaced. (320) 529-9000 or (888) 529-0743 Your responsible party needs to do the firing of PCA’s if they are not doing their job the way you want it done.  Please make sure you notify ILICIL if you need to terminate a PCA. Your Responsible Party must find back up PCA staff.  This ensures that you get the service you need if someone is sick or unable to get to your home. Your Responsible Party needs to schedule your PCA’s and Qualified Professionals to work for you when you want them to. Your Responsible Party needs to get a copy of your doctor’s orders to ILICIL stating that you need the service. Your Responsible Party needs to enter into a written agreement with the PCA Choice agency and with all PCA’s hired and QP.