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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.

MassHealth LTSS Provider Service Center

The Details of Request prior authorization for Personal Care Attendant (PCA) Services

What you need for Request prior authorization for Personal Care Attendant (PCA) Services

You may also need

  • any documentation that supports the member's need for PCA services
  • documentation that the member's physician or nurse practitioner has ordered PCA services 
  • a completed and signed PCA Prior Authorization Adjustment form

How to request Request prior authorization for Personal Care Attendant (PCA) Services

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

More info for Request prior authorization for Personal Care Attendant (PCA) Services

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 for Request prior authorization for Personal Care Attendant (PCA) Services

Contact for Request prior authorization for Personal Care Attendant (PCA) Services

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

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

Fax
(888) 832-3006
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