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To qualify for this program, individuals must have a persistent or permanent disability that requires them to receive assistance to perform at least two of the activities of daily living, such as bathing, grooming, eating, toileting, mobility, and personal hygiene.
Can a Family Member Get Paid to Be a Caregiver in Massachusetts? A family member can get paid to be a caregiver in Massachusetts under their Adult Foster Care program. Massachusetts Medicaid is called MassHealth. To qualify for the Adult Foster Care program, the recipient must be financially eligible for MassHealth.
MassHealth PCA program allows family members to be paid for the personal care assistance they provide. The Personal Care Attendant (PCA) program provides personal care services to elderly and disabled Massachusetts' residents.
Wage Increases Provided for in the New PCA Labor Agreement 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.
Prior authorization\u2014sometimes called precertification or prior approval\u2014is a health plan cost-control process by which physicians and other health care providers must obtain advance approval from a health plan before a specific service is delivered to the patient to qualify for payment coverage.
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To apply for the Personal Care Attendant Program, applicants must be eligible for MA Medicaid / MassHealth. To apply for MassHealth, seniors must complete the Application for Health Coverage for Seniors and People Needing Long-Term Care Services, which can be found here.
Personal Care Assistants' duties include mobility support, assisting with maintaining personal hygiene by bathing, brushing their hair and teeth or applying skincare. In addition, they may be responsible for housekeeping duties such as cooking, cleaning, washing clothes and dishes and running errands.
The PCA is designed to cover expenses not paid by your health plan including deductibles, coinsurance and copayments.
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.
A personal care assistant (PCA) is a caregiver who is trained to care for people with various needs in a variety of settings.

how to qualify for pca services ma