Become a PCA Today

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What is the Personal Care Attendant (PCA) Program?

The Personal Care Attendant (PCA) program is delivered by MassHealth to provide funds for people with disabilities (PCA Consumer-employer) to hire Personal Care Attendants to assist with activities of daily living.

What is a Personal Care Attendant (PCA)?

A PCA is a person recruited and hired by an individual (PCA Consumer-employer) to physically assist in performing tasks, such as:

  • bathing and dressing
  • denture care
  • help with toileting
  • meal preparation and feeding
  • housekeeping and shopping
  • help with ambulation and transfers

Who is the employer? 

PCA Consumer-employers are responsible to hire, train, manage, and, if needed, terminate the PCA. The PCA Consumer-employer is listed as the employer on the I-9 and W-4. PCAs are not independent contractors, taxes are withheld.  

What is required to be a PCA in Massachusetts?

  • Legally able to work in United States
  • Understand and carry out instructions of the PCA Consumer-employer
  • At least age 14.5 years old with working papers

What should be considered to become a PCA in Massachusetts?

  • It is at each PCA Consumer-employer’s discretion to run a CORI, SORI or drug test
  • Working full time (up to 50 hours/week) or part-time (as few as one hour per week)
  • Each PCA Consumer-employer has their own preferences for worker certification, licensure or educational attainment

What are the benefits for PCAs?

  • $15.75/hour (effective July 1, 2020)
  • Earned sick leave
  • Unemployment insurance
  • Workers compensation
  • Free training opportunities through Home Care Training Benefit (1199 SEIU):
    • CPR/First Aid
    • Blood borne pathogens
    • Communication skills
    • Topics in computers
    • Transfers and Mobility
    • Alzheimer’s and Dementia
    • Medication safety
  • PCAs are eligible for college tuition vouchers after completing a year of, at least, part-time employment
  • PCAs are eligible to complete the Certified Nurse Aide program after completing a year of, at least part-time, employment

Are there any restrictions on who can be hired as a PCA?

A person cannot be hired if he/she is the PCA Consumer-employer’s spouse, parent/foster parent (if PCA Consumer-employer is a minor), or surrogate (legally responsible decision maker).

PCA New Hire Orientation

All PCAs hired after January 2014, are required to complete a one-time, mandatory, four-hour PCA New Hire Orientation within nine months of their hire date. PCAs who need to complete this required orientation will receive a letter from their fiscal intermediary (payroll agency) with information needed to register. The three fiscal intermediaries are Stavros, Northeast ARC or Tempus Unlimited.
The PCA Consumer-employer will decide to send their PCA to a group session or deliver the PCA New Hire Orientation themselves. The PCA will be paid to attend the orientation, which needs to be scheduled during non-work hours.

What do I need to do to get a job as a PCA?

Visit the PCA Workforce Council’s new PCA referral directory at to register and complete an application for employment

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