Request prior authorization for Personal Care Attendant (PCA) Services

If you are a MassHealth-contracted Personal Care Management (PCM) agency and you need to request a prior authorization (PA) for PCA services, use the forms below.

Contact

MassHealth LTSS Provider Service Center

Phone

Toll-Free (844 )368-5184

Open Monday - Friday (excluding holidays), 8a.m.-6.p.m ET

The Details

What you need

You may also need

How to request

Submit the completed and signed forms via the MassHealth Provider Online Service Center (POSC).

More info

Only Personal Care Management (PCM) Agencies can submit PA requests for PCA services.

For information on the documentation PCM agencies will need to include with a prior authorization request for PCA services, please refer to the Standard Documentation to Include with a Prior Authorization Request for Personal Care Attendant (PCA) Services below. 

Downloads

Contact

Address

MassHealth LTSS Provider Service Center
PO Box 159108, Boston, MA 02215

Phone

Toll-Free (844 )368-5184

Open Monday - Friday (excluding holidays), 8a.m.-6.p.m ET

Fax

(888) 832-3006

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