Personal Care Attendants (PCA) Services
Providers can access application and evaluation forms for PCA services below.
- MassHealth Application to Request Prior Authorization for PCA Services
- MassHealth Evaluation for Personal Care Attendant (PCA) Services (PDF)
- PCA Prior Authorization Adjustment Form (PDF)
These forms should be completed and submitted with the prior authorization (PA) request for PCA services. Personal Care Management (PCM) agencies must submit PA requests for PCA services using MassHealth’s Provider Online Service Center (POSC).
This information is provided by MassHealth