PERSONAL CARE ASSISTANT AND ENTITY UMPI INFORMATION FORM  
 

• This form is to be completed for each new or terminated personal care assistant (PCA) only.
• Please allow 30 business days for your request to be reviewed and completed.
• For status checks, please contact UCare's Provider Assistance Center at 612-676-3300 or toll free at 1-888-531-1493.
• For questions with filling out the form, please contact UCare's Provider Demographic Support Line at 612-676-8959.