Personal Care Policy In Massachusetts
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To apply for PCA services, you must contact a PCM agency. The agency will evaluate your need for PCA services and submit a prior-authorization request to MassHealth for you.
FORM 1095-C (REFERENCE DOCUMENT ONLY) It only serves as proof of qualified health insurance coverage (referred to as minimum essential coverage). Note: This proof of coverage is NOT required for your income tax filing.
Supportive Home Care Aide (SHCA) need 87 hours of initial training some of which CareAcademy can offer. Certified Nursing Assistant (CNAs) need 48 hours of continuing education over 2 years, 24 hours can be obtained through an approved provider like CareAcademy (NAC provider number 7047).
Effective July 1, 2019, the PCA wage rate will be $15.40 per hour. Effective July 1, 2020, the PCA wage rate will be $15.75 per hour. Effective July 1, 2021, the PCA wage rate will be $16.10 per hour.
You can contact a Personal Care Management (PCM) Agency in your area to get more information about the PCA program or enroll in PCA services. If you would like to request materials in braille, large print, or other languages, please call the MassHealth Customer Service Center at (800) 841-2900, TDD/TTY: 711.
Massachusetts' passage of health care reform legislation in April 2006 heralded an exciting new era in state health policy. The reform plan is the most comprehensive effort by a state to achieve near-universal coverage, and arguably the most controversial, given its inclusion of an individual mandate.
The Massachusetts individual mandate, in effect since 2007, requires state residents to maintain MCC or face a potential state tax penalty. Providing MCC is not an employer mandate, but many employees use employment-based health coverage to satisfy the individual mandate.
The number of hours one PCA can work providing MassHealth PCA services is limited to 50 hours each week unless you are approved to schedule that one PCA to work more than 50 hours each week. The 50 hour limit applies if the PCA works for you, or for you and other members.
MassHealth's Personal Care Attendant (PCA) program helps people with permanent or chronic disabilities keep their independence, stay in the community, and manage their own personal care by providing funds and other supports for hiring PCAs.
In Massachusetts, Medicaid and the Children's Health Insurance Program (CHIP) are combined into one program called MassHealth. MassHealth members may be able to get doctors visits, prescription drugs, hospital stays, and many other important services.
