Personal Care Attendant Program
The Personal Care Attendant (PCA) Program is a MassHealth program designed to give individuals with long-term disabilities both control over how their own personal care needs are met and the choice to live at home independently.
Personal Care Attendants (PCAs) are hired, trained and supervised by the consumer. PCAs do not work for Springwell, or any other agency, rather, they work for the consumer. As the employer, a consumer chooses who to hire, sets up a PCA schedule and trains PCAs to meet his or her own personal needs. PCAs are paid based on timesheets that are sent to a Fiscal Intermediary.
If the consumer cannot independently manage his or her PCA program, the consumer may have the help of a surrogate. The surrogate is often a family member but may be any other person identified by the consumer who has the ability to manage the program.
PCAs can help with Activities of Daily Living (ADLs) such as:
PCAs can also help with Instrumental Activities of Daily Living (IADLs) such as:
PCA time is NOT approved for:
Payroll and tax filing and reporting are usually handled by the Fiscal Intermediary, although some consumers do choose to handle this function themselves. PCAs are covered by Workers Compensation and Unemployment Insurance.
Referrals to Springwell’s PCA Program can come from:
Each Springwell consumer is assigned to a Skills Trainer, who helps the consumer through the application process, and gives the consumer and/or surrogate the training they need to manage their PCA program. A Springwell RN conducts the initial evaluation, which results in a recommendation as to the number of hours the consumer is eligible for. PCA services are approved and paid for by MassHealth, which makes the final approval on whether a consumer is eligible for the PCA program, and if so, on the number of hours per week which a consumer may use. Approvals are generally for one year. Annual re-evaluations are completed by a Springwell RN.
It takes about two to three months to complete the evaluation and approval process. During this time, consumers may continue receiving services from other sources.
If you would like to find out more about the PCA Program please call (617) 926-4100.
The Personal Care Attendant program is available to people with disabilities who meet the following conditions:
MassHealth coverage type must be Standard or Commonhealth.