PCA Program

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Personal Care Attendant (PCA) Program

The Personal Care Attendant (PCA) Program is a MassHealth program that assists people with permanent or chronic disabilities live at home independently. This is a consumer-directed program, which provides personal care services for people with disabilities.

Through our PCA Program, BCIL serves over 1,000 consumers living in and around the Boston area. This program serves people of all ages, disabilities and backgrounds.

Personal Care Attendants are hired, trained and supervised by the person with the disability, the consumer. PCAs do not work for BCIL, or any other agency; 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 the 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:

If a consumer needs help at night, such as for repositioning or toileting etc., PCA time can be approved for Night Attendant services.

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.

PCA Program Eligibility and Referral Process.

Frequently Asked Questions about our PCA Program.

BCIL’s PCA Program makes it possible for many individuals with disabilities to be a part of the work force, manage their daily lives, raise families and achieve maximum independence.


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