Make a Referral | Marsin Home Care

Now accepting CFSS Consultation referrals

Call 888-439-5801 Fax 952-977-9152

Home
CFSS Consultation
CFSS Services
245D Services
About
Contact

It takes about 2 minutes. Marsin will contact you within 1 business day.

Prefer to call? 888-439-5801. Prefer to fax? Download the referral form (PDF) and fax it to 952-977-9152.

Prefer to email? Send 245D and CFSS services referrals to marsinhomecarellc@gmail.com. Send CFSS Consultation referrals to kassim.osman@marsinhomecare.com.

Start

Leave this field empty

This online form needs JavaScript. Please call 888-439-5801 or download the referral form and fax it to 952-977-9152.

What are you referring for?

CFSS Consultation
Independent help planning and managing CFSS CFSS Services
Personal care support at home 245D Basic Supports
Waiver services such as respite and homemaker

Choose the service you are referring for.

About you

Your name (required)

Your role (required)

Agency or county

Phone (required)

Email (required)

About the participant

First name (required)

Last name (required)

Date of birth (if available)

PMI or MA number (if available)

County of residence (required)

Participant phone

Preferred language (required)

An interpreter is needed

Legal representative name (if any)

Legal representative phone

Fit check (CFSS Consultation)

Does this person currently get CFSS (formerly PCA) or waiver services from Marsin Home Care? (required) No Yes Not sure

If this person already gets CFSS (formerly PCA) or waiver services from Marsin, we cannot be their consultant. You can still send this referral and we will call you to help, or see the MNDHS list of CFSS Consultation providers.

Thank you for telling us. CFSS Consultation must be independent, so Marsin cannot be the consultant for someone who already receives CFSS (formerly PCA) or waiver services from Marsin. You can choose another consultant from the MNDHS list of CFSS Consultation providers. You can still send this referral and we will call to help.

MnCHOICES assessment date (if known)

Service model interest Agency model Budget model Not sure yet

Service needs

What support is the participant looking for?

Send the referral

I have permission to share this information. (required)

Read our Privacy Policy.

This online form needs JavaScript. Please call 888-439-5801 or download the referral form and fax it to 952-977-9152.

The referral did not send. Please try again, or call 888-439-5801.

Received.

Marsin will contact you within 1 business day.

MNDHS-licensed 245D provider, license #1114573

CFSS agency-provider

MNDHS-approved CFSS Consultation Services provider

Contact

Toll-free: 888-439-5801
Fax: 952-977-9152
CFSS Consultation:
kassim.osman@marsinhomecare.com
245D and CFSS services:
marsinhomecarellc@gmail.com

12100 Singletree Lane, Suite 194, Eden Prairie, MN 55344

Quick links

Make a Referral
CFSS Consultation
245D Basic Supports
CFSS Services

Policies

Privacy Policy
Accessibility
Nondiscrimination and Language Help

Call Refer