PCA Resources
PCA Checklist
Paraprofessional needs to be DHS PCA/CFSS certified
Paraprofessional needs to be trained by the Qualified Professional on child specific PCA tasks
Qualified Professional developes Care Plan or reviews and updates prior year's Care Plan
Time study needs to be done every two years or when there is a significant change in receiving services.
Paraprofessional enters monthly logs in Sped Forms and electronically signs the log
Qualified Professional reviews logs, documents supervision of PCA tasks & electronically signs the log
Care Plan:
A care plan should include this level of detail to support PCA billing:
• Condition: Identify and describe the medical need.
• Tasks: Describe what will be provided based on the child’s needs and disability.
• Details of PCA tasks:
• Who will perform the task?
• What will be provided?
• How, when, and where will it be done?
• Who will supervise the PCA services?
For Instructions to Enter Care Plans in Sped Forms please email wanda.lane@isd181.org
cp example 1.pdfCare Plan Example #1
cp example 2.pdfCare Plan Example #2
Time study 2021-22 - Copy.pdfBlank Time Study with number of students divided by all time
TS Example divide by all.pdfExample: Time Study with number of students divided by all time
time study portrait.pdfBlank Time Study with number of students divided by task.
TS Example divide by task.pdfExample: Time Study with number of students divided by task.
For Instructions to Enter PCA Logs in Sped Forms please email wanda.lane@isd181.org