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Personal Care Attendant Signature Form THE COMMONWEALTH OF MASSACHUSETTS Executive Office of Health and Human Services Name of fiscal intermediary (FI) All PCAs hired by a PCA consumer must fill out.

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Related content

Personal Care Management (PCM) Agency List |...
MassHealth Personal Care Attendant (PCA) Program; show 0 more. This page ... North...
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Administrative Bulletin 22-16 PCA Rate ComponentPCA Rate (Hourly)PCA Wage Component$17.80Employer Expense Component$2.05Total PCA Rate$19.85 Jul 1, 2022

Consumers needing help should contact their PCM agency and ask for assistance with their information. Consumers can also get answers to their questions by dialing 1-866-212-9675.

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.

Consumers can access the online directory at .masspcadirectory.org. The directory is a searchable database where consumers can search for a PCA by reviewing the responses that PCAs have given to a series of employment questions.

You just need to know if your PCA's total hours for you and any other MassHealth members adds up to more than 50 hours in a week. If you do not know if your PCA works more than 50 hours per week, contact your PCM agency. If you need help talking to your PCA about this, ask your PCM to help you.

MassHealth will pay for your PCA to provide you with physical (hands-on) assistance for the MassHealth-approved tasks described on the PCA evaluation.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232