Masshealth pca program regulations

Masshealth pca program regulations. This change will bring CMSP into alignment with MassHealth. These regulations are effective May 5, 2017. documentation that the member's physician Oct 5, 2023 · Public Listening Session: Personal Care Attendant (PCA) Program Enhancements. 130 CMR 422. Option 2: The Consumer-employer may choose to If you are a MassHealth Standard or MassHealth CommonHealth member and you need in-home nursing services for more than two continuous hours a day, you may qualify for CSN services through the Community Case Management (CCM) program managed by the University of Massachusetts Medical School. a completed and signed Consumer Assessment to Manage PCA Services form. A personal care management (PCM) agency can provide you with more information and training on how to use the 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. 000) Page 4-1 Personal Care Attendant Services Manual Transmittal Letter PCA-23 Date 01/01/20 422. 12. 416(E); 4 Program Regulations (130 CMR 422. • Medicare Savings Program (MSP) campaign ($250,000) – MassHealth will invest in a public campaign to promote uptake of MSP. Program Regulations (130 CMR 437. OVERVIEW: Consumer-Directed Personal Care Attendant (PCA): PCA services include physical assistance with at least two (2) Activities of Daily Living (ADLs) and health related tasks (e. PCA services are open to Medicaid/MassHealth eligible consumers, regardless of their age, as long as they meet these other conditions: The consumer must have a permanent or chronic disability and must require physical assistance with two or more ADLs. This list will be updated overtime. 000 describes the rules governing financial eligibility for MassHealth and is based on financial responsibility, countable income, and countable assets. ''Consumer,'' a person to whom a personal care attendant provides personal care services. It is not an official statement of the regulations. 000, including, but not limited to, failure to provide services covered by the MassHealth PCA provider, repeated failure to work within the weekly hour limit or authorized overtime hours, provider eligibility requirements, or other program requirements. MassHealth, your health insurance provider, oversees and pays for this program. What you need. Jan 31, 2024 · Public Information Session: EVV Implementation in the MassHealth PCA Program Presentation (Word) Sesión pública informativa: Implementación de la EVV en el Programa de PCA de MassHealth (Word) You are invited to a Zoom webinar: When: Jan 31, 2024 02:00 PM Eastern Time (US and Canada) Topic: MassHealth PCA Program EVV Information Session MassHealth PCA services are provided pursuant to MassHealth regulations at 130 CMR 422. As of January 1, 2023, a PCM agency is . Physical assistance with ADLs and IADLs provided to a member by a PCA in Dec 11, 2023 · Industry Regulations; MassHealth Personal Care Attendant (PCA) Program MassHealth PCA Program EVV Listening Session Monday, December 11, 2023 Mar 15, 2024 · Prior-authorization requests to increase or decrease the number of hours of PCA services must be submitted to the MassHealth agency by the member's PCM agency in writing within 30 calendar days of the member or surrogate request, and include: (1) a copy of the original prior-authorization request and PCA evaluation; (2) a written summary of the Mar 29, 2024 · Or Telephone: Dial (for higher quality, dial a number based on your current location): +1 646 876 9923 US (New York) +1 646 931 3860 US. Resolving employee problems. Administrative regulations and billing regulations apply to all providers and are contained in 130 CMR 450. Authorization for the provision of, and billing and payment for, PCA services are pursuant to the MassHealth PCA Program regulations at 130 CMR 422. 000 and in accordance with the following: (1) Provide assistance with ADLs and IADLs as described in 130 CMR 422. Administrative and Billing Requirements All existing provider billing processes will remain in effect during the period of enhanced funding, A PCA is a person recruited and hired by an individual (PCA Consumer-employer) 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. Does consumer have a legal guardian?: Check the appropriate box to indicate if the consumer has a legal guardian. Mar 7, 2024 · Eligibility Requirements for MassHealth Personal Care Attendant Program. the contractual updates and timeline for the procurement of the PCM agency network effective. +1 312 626 6799 US (Chicago) +1 386 347 5053 US. The MassHealth agency's authorization for a member to schedule an individual PCA to work in excess of the weekly hour limit will expire in accordance with the following: for temporary authorizations pursuant to 130 CMR 422. The FI cannot pay a PCA until all required paperwork is received and complete. The PCA Program Fee for Service (FFS) is a MassHealth program that helps people with permanent of chronic disabilities keep their independence, stay in the community, and manage their own personal care by providing funds to hire PCAs. PCAs are covered by Workers Compensation and Unemployment Insurance. Nov 22, 2016 · You can get the Overtime Approval Request Form, and the other materials on this page, in braille and large print. The FI will integrate EVV within its timekeeping system. Section 70. 000. Have an ongoing need for, and receive, waiver services at least once a month. Initial Evaluation Requirements Update . MassHealth 4 Program Regulations Provider Manual Series Subchapter Number and Title (130 CMR 422. The Program of All-inclusive Care for the Elderly (PACE) is administered by MassHealth and Medicare to provide a wide range of medical, social, recreational, and wellness services to eligible participants. PCAs can help with Activities of Daily Living (ADLs) such as: Dressing or undressing. 402; and includes but is not limited to the PCA must not be the member’s surrogate; not be the member’s foster May 5, 2017 · MassHealth is amending the Personal Care Attendant program regulations to update requirements regarding the management and utilization of personal care attendant (PCA) overtime hours, and update and clarify certain requirements of the MassHealth PCA program. You will find a link to the related rate regulations in the Related section. Providers who are missing a publication that cannot be located on this website should contact. 000, which contain more information about covered and noncovered services , as well as other program requirements. This bulletin extends the requirements of Personal Care Bulletin 11, published Residency. This bulletin provides updated provider attestation and reporting requirements for use of the funds associated with the temporary rate increase established under 101 CMR 447. Sep 1, 2023 · 130 CMR 422. Hiring, training and scheduling. Statewide. Due to the decision by the Secretary to end the FPHE, MassHealth is issuing this bulletin, effective May 12, 2023. These regulations are effective July 29, 2016. EVV will not impact how services are provided within the PCA Program or MFP waiver. These regulations are reproduced as Subchapters 1, 2, and 3 in this and all other manuals. PCAs 19. 000) Page 4-1 Personal Care Manual Transmittal Letter PCA-22XX Date 0501/0501/1718 20 422. The regulations on this website are listed alphabetically by provider type. Bathing or grooming Toileting. Oct 13, 2023 · 130 CMR 520. 5 KB, Personal Care Attendant Program Bulletin 14: Update on Initial Evaluation Requirements (English, DOCX 31. Brockton Office: (508) 856-9700. 00: Independent Living Services for the Personal Care Attendant Program and are inclusive of activities described under 130 CMR 422. One is the Time for Task Guidelines, dated 11-16-11 Oct 28, 2002 · MASSHEALTH TRANSMITTAL LETTER PCA-13 October 2002 Page 3 V. EOHHS is extending the enhanced rates for PCM agencies through June 30, 2023, or until such time that EOHHS updates 101 CMR 309: Rates for Certain Services for the Personal Care Attendant Program. Consumers are set The PCA’s employer (the PCA consumer) must submit this form to the FI, along with all other paperwork required by the FI and MassHealth. Jan 1, 2020 · Personal Care Attendant (PCA) Changes Jan 1 MassHealth entered into new contracts with Personal Care Management (PCM) agencies effective Jan 1, 2020. Oct 23, 2018 · ADH provides an organized program of nursing, therapy, personal care, case management, counseling, nutritional and other health related support services to MassHealth members who have physical, cognitive, or behavioral health impairments. MassHealth Guidelines for Medical Necessity Determination Prior Authorization for Non-Pharmaceutical Services - Frequently Asked Questions Medical Necessity Review Forms MassHealth Drug List Prior Authorization Forms for Pharmacy Services. When: Dec 18, 2023 02:00 PM Eastern Time (US and Canada) Topic: MassHealth PCA EVV Listening Session. 421. amendments promote the effective operation of the MassHealth PCA program and align with. March 11, 2024. 7/29/2016. Personal Care Attendant (PCA) – a person who meets the requirements of 130 CMR 422. PCA Services. Option 1: Send the new PCA to an in-person or online group session. Neither document is new, but both are currently in use at least as of Jan 2019. 000 governs the provision of hospice services under MassHealth. Covered ADLs include assistance with: • mobility • passive range of motion exercises • assistance with medications 3 days ago · Section 70: Definitions for Secs. This is a valuable benefit through which the program will defray up to 90% of Medicare costs for low- and middle-income seniors, The full list of factors can be found in the MassHealth Member Regulations. Other languages are also available. 5 KB) February Open PDF file, 143. To view related and supporting documents, including any proposed amendments, please visit the MassHealth website at this link: 130 CMR 422 related and supporting documents Jan 11, 2022 · accordance with all applicable program requirements and regulations as set forth in 130 CMR 422. MassHealth ID: Enter the consumer’s MassHealth 12-digit identification number. Pursuant to a Jan 2019 record request, we obtained a copy of two subregulatory documents developed by MassHealth regarding Personal Care Attendant (PCA) services. 03(5) provided to MassHealth members. 000: Personal Care Attendant Services and the PCM agency contract. MassHealth providers are automatically sent notice of all provider regulations issued that apply to them. Aveanna Healthcare. As a PCA program Consumer, you are the employer and are responsible for hiring, training, scheduling (and if necessary) firing your PCA(s). a completed and signed MassHealth PCA Evaluation form. All PCAs and transitional living providers participating in The PCA Program and MFP Waiver must meet federal requirements for EVV. 418(A)(2)(a), the authorization will expire 12 weeks after the date of authorization; Mar 29, 2024 · (B) The MassHealth agency reserves the right to: (1) terminate PCA services if a member fails to comply with any of the requirements listed in 130 CMR 422. 412 as part of the PCA program; (3 (2) If the MassHealth agency denies or modifies a prior-authorization request for PCA services, a member may appeal by requesting a fair hearing. 420(A); (2) terminate PCA services if a member's surrogate becomes unavailable, or the MassHealth agency requires the member to replace the current surrogate, and another surrogate cannot be Date of evaluation: Enter the date that the PCM RN conducted the PCA evaluation included in this PA request. Basic understanding of the PCA Program. As used in sections 70 to 75 inclusive, the following words shall, unless the context requires otherwise, have the following meanings:—. New PCAs should contact the Home Care Training Benefit at (877) 409-8283 to register for a group session in his/her area (group sessions fill quickly; please register early), or online group session, as applicable and available. 00: Rates for Certain Services for the Personal Care Attendant Program. Dec 23, 2022 · 130 CMR 438. a MassHealth Application to Request Prior Authorization for PCA Services. *Room capacity: 150; people will be seated on a first-come, first-served basis. PA information for MassHealth providers for both pharmacy and nonpharmacy services. It is a consumer-directed program and as such, consumers are considered the direct employers of the PCAs they hire. ADL = Activities of Daily Living Category Activity Description Common Considerations (Explain in detail on PCA evaluation form) Level of Physical Assistance** Mar 15, 2024 · If you have questions about changes to the PCA program, or to request materials in braille, large print, or other languages, call the MassHealth Customer Service Center at (800) 841-2900 (TDD/TTY: 711). Wednesday, July 24, 2019 1:30 – 3:30PM. As state lawmakers gear up to decide how much Massachusetts should spend on health and human services next year, they’re also looking to improve how the health care system works. 422 - PCA Program: Personal Care Management Agency Operating Procedures (A) Assessment. This page, MassHealth proposed regulations, is offered by PCA Time for Task and PCA Operating Standards. The PCA must not be a family member, as defined in 130 CMR 422. Mar 11, 2024 · Katie Lannan. 1. 12/23) | Surrogate/Administrative Proxy Assessment to Manage PCA Services | MassHealth PCA Page 3 of 6 2 Prior Surrogate/AP Experience 1. Service Area. MassHealth or CHIP. g. You must be a resident of Massachusetts to get MassHealth or other health care benefits that are funded by the Commonwealth. If you are currently using the PCA Program, this handbook will provide helpful information. A PCA does not “take care of” a Consumer, rather they assist the Consumer to live independently. +1 312 626 6799 US (Chicago) +1 689 278 1000 US. Jun 17, 2024 · Industry Regulations; MassHealth Personal Care Attendant (PCA) Program MassHealth PCA Program EVV Information Session Monday, June 17, 2024 Authorization for the provision of, and billing and payment for, PCA services are pursuant to the MassHealth PCA Program regulations at 130 CMR 422. Personal Care Services, Training and Competency Requirements a) The Assistant must meet the training and competency evaluation program standards for Jun 28, 2022 · The Executive Office of Health and Human Services (EOHHS) is issuing this Administrative Bulletin pursuant to 101 CMR 309. Language assistance. 58 KB) Providing a wide array of services to help participants live safely in their own homes. The Personal Care Attendant (PCA) Program is a MassHealth program that helps people with permanent or chronic disabilities live at home by providing funds to hire PCAs. You meet residency requirements if:. The Personal Care Attendance (PCA) Program is a MassHealth program that helps people with permanent or chronic disabilities keep their independence, stay in the community, and manage their own personal care by providing funds to hire personal care attendants (PCAs). The PCA Program is for MA state residents of any age who are chronically or permanently disabled, given they require assistance with their daily living activities. Background The COVID-19 public health emergency has unexpectedly increased the need for PCA services and has also made the delivery of these service more difficult and costly. ). +1 309 205 3325 US. New Bedford Public Library, Main Branch, 3rd Floor. The following figures are used to determine eligibility for certain MassHealth applicants and members aged 65 and older or those of any age who are in or are entering a long-term-care facility and their spouses who reside in the community. A person who receives health care and services for which a governmental unit comprehension program. Introduction This bulletin communicate s provider requirements that were suspended during the FPHE and that The guidelines were developed to be used by nurses who evaluate a consumer’s need for PCA services and by clinical reviewers of prior-authorization requests for MassHealth PCA services. 01(6) to clarify the substantive provisions of the rates for personal care attendant (PCA) services contained in 101 CMR 309. 418(B) must be met. 58 KB, Home Health Agency Bulletin 81: Updates to CSN Overtime Policy effective January 1, 2023 (English, PDF 143. To view related and supporting documents, including any proposed amendments, please visit the MassHealth website at this link: 130 CMR 520 related and supporting documents. net. 000: Personal Care Attendant Services. Email: publications@mahealth. Nov 9, 2017 · MassHealth PCA Program. All hospices participating in MassHealth must comply with MassHealth regulations, including but not limited Jul 25, 2018 · Group Adult Foster Care, and Personal Care Attendant Program (PCA). . 613 Pleasant Street. Mar 14, 2024 · Introduction. 000 and 450. After reading this handbook, you may determine that the MassHealth PCA Program is not right for you. 00. Managing timesheets and record-keeping. Question Answer Is the Candidate currently a Consumer with the MassHealth PCA program? Yes No If yes, does the Candidate have a Surrogate? Yes No N/A safety. 410 and the service agreement established pursuant to 130 CMR 422. You will find a link to the related program regulations in the Related section. 000 contains regulations governing the Personal Care Attendant (PCA) program under MassHealth. , wound care, glucose monitoring, etc. MassHealth PCA Program. Regulations governing the MassHealth Personal Care Attendant Program are contained in 130 CMR 422. If you are interested in being part of the the Personal Care Attendant (PCA) Program, call the Information and Referral Department at BCIL at 617-338-6665 to see if you qualify. Mar 29, 2024 · Rates for payment for intake and orientation and functional skills training are established by the Center under 101 CMR 309. Please answer the following questions. Health and Human Services Secretary Kate Walsh testified before state representatives and senators Monday on the more than $30 billion MassHealth PCA program. Contact. If you have questions about changes to the PCA program, or to request materials in braille, large print, or other languages, call the MassHealth Customer Service Center at 1-800-841-2900 (TTY: 1 Jan 27, 2020 · MassHealth Program Regulations. This bulletin communicates requirements for all MassHealth members receiving personal care attendant (PCA) services Use the links below for information about upcoming MassHealth public hearings and public notices. Brookline Office: (857) 505-6924. If yes, enter the legal guardian’s Personal Care Management (PCM) Agency and manage all necessary program requirements as outlined in 130 CMR 422. The Personal Care Attendant (PCA) Program is a MassHealth program that assists people with long-term disabilities live at home independently. Below is a list of MassHealth enrolled CSN agencies who have confirmed they are interested in providing complex care assistant services. You do not need to be on MassHealth to enroll in PACE. Evaluator Signoffs. Permit evaluations and re-evaluations for PCA services to be reviewed Dec 18, 2023 · You are invited to a Zoom webinar. All CSN agencies participating in MassHealth must comply with MassHealth regulations including, but not limited to, 130 CMR 438. The MassHealth regulations governing the PCA Program are located at 130 CMR 422. Or Telephone: Dial (for higher quality, dial a number based on your current location): +1 309 205 3325 US. Please also see the PCA Job Description and PCA Provider Agreement form for more information. Jan 18, 2022 · The Personal Care Attendant program (PCA) is available to people of any age who have MassHealth Standard or CommonHealth and need assistance with at least two activities of daily living such as bathing, dressing, taking medications, eating, transferring or moving inside of the home. An Ethos nurse and occupational therapist will evaluate the May 31, 2018 · The PCA program also has the following eligibility requirements: Must be eligible for MassHealth Standard or CommonHealth. Demonstrate the need for a facility level of care (LOC), meaning that they would meet the state’s eligibility requirements for services in an institutional setting. Be able to be safely served in the community with the available waiver and MassHealth services. Publicly Aided Individual. 401: Introduction 130 CMR 422. RE: Personal Care Manual (Revised Regulations about PCA Overtime) MassHealth is amending the Personal Care Attendant program regulations to establish limits on the utilization of Personal Care Attendant (PCA) overtime hours and to update and clarify the requirements of the MassHealth PCA program. (b) the number of hours requested for reimbursement by the member for juror service performed by a personal care attendant must not be greater than the number of hours the personal care attendant was regularly scheduled to work for the member; and (c) all the requirements in 130 CMR 422. You live in Massachusetts and either intend to reside in Massachusetts, with or without a fixed address, or have entered Massachusetts with a job commitment or seeking employment PCA-AP-1 (Rev. The revised regulations make the following updates and clarifications. This bulletin also communicates changes in requirements implemented during the Commonwealth of Massachusetts MassHealth Provider Manual Series Subchapter Number and Title 4 Program Regulations (130 CMR 422. +1 312 626 6799 US (Chicago) +1 646 876 9923 US (New York) +1 646 931 3860 US. CSN Agency Name. It replaces all prior FPHE-related bulletins, specifically Personal Care Attendant (PCA) Program Bulletins 9 and 10. 000) Page 4-1 Hospice Manual Transmittal Letter HOS-18 Date 01/01/23 437. Recruiting and screening. Page 3 of 3. ''PCA quality home care workforce council'', ''workforce The areas include. any documentation that supports the member's need for PCA services. Must require hands-on assistance with two or more activities of daily living. January 1, 2020. Additional eligibility criteria are as follows and is relevant for seniors 65+ years of age. 70 through 75. Facility-Based Long-Term Services and Supports: Nursing Facility Services (over 100 days) and Chronic Disease Rehabilitation Hospital Services (over 100 days) Other Covered Services: Chronic Disease Rehabilitation Hospital Services (for the first 100 days), Nursing What is the MassHealth PCA Program? The PCA Program allows individuals with disabilities or chronic medical conditions to hire their own Personal Care Attendants in the community. PCC Plan Member Handbook and Covered Services (03/23) Personal-Care-Attendant Handbook [PCA-CH (06/08)] Legal Services Guide [LS (03/15)] Voter Registration. Mar 11, 2024 · Massachusetts’ Personal Care Attendant (PCA) Program will pay for up to 50 hours / week of in-home care and supervision for MassHealth Standard (Massachusetts ABD Medicaid) beneficiaries who live in their own home or the home of a loved one and require hands-on assistance with two of the seven following activities: mobility, bathing, dressing comply with the MassHealth PCA program regulation at 130 CMR 422. Oct 13, 2023 · 130 CMR 422. New Bedford, MA 02740. We confirm that the consumer meets the criteria of the MassHealth PCA Program and requires physical assistance for the following number of hours of PCA activity time: Day/evening PCA hours requested per week: Night PCA hours (if any) requested per night: Surrogate (check only one of the two boxes below) I/we have conducted Sep 23, 2022 · under the MassHealth personal care attendant (PCA) program. Jan 1, 2020 · 4 Program Regulations (130 CMR 422. Please click the link below to join the webinar: Jan 1, 2023 · 4. Open DOCX file, 31. The consumer’s physician must prescribe PCA Prior Authorization and in accordance with the MassHealth PCA program regulations at 130 CMR 422. Payroll, tax filing and reporting are handled by the Fiscal Intermediary. +1 669 444 9171 US. 418: PCA Program: Special Payments. This bulletin applies to certain services covered by the MassHealth PCA Program and received on a fee-for-service basis, including services received by members enrolled in the The Personal Care Manual guides personal care providers to the regulations, administrative and billing instructions, and service codes they need. Eligibility requirements for the PCA Program. 416: PCA Program: Prior Authorization for PCA Services and 130 CMR 422. 404(A)(1) and who is hired by the member or surrogate to provide PCA services. Changes to the MassHealth PCA Program Regulations PCM providers and fiscal intermediaries are responsible for complying with the PCA program regulations. PCMs are responsible for many aspects of the PCA program including making an assessment and requesting authorization for hours of service. Quincy, MA 02171. (b) the rules, regulations, and policies governing the PCA program including, but not limited to, the member's responsibility to use PCA services as authorized by the MassHealth agency pursuant to 130 CMR 422. 401: Introduction 130 CMR 437. 000 contains regulations governing personal care servicesthe Personal Care Attendant (PCA) program under MassHealth. The guidance in this bulletin replaces all previously issued guidance for the MassHealth PCA program described in the MassHealth COVID-19 LTSS Flexibilities document. Amended by Mass Register Issue 1318, eff. Services provided to ADH members are based on an individual plan of care. 015(B): Time Limitation on the Right of Appeal. Identifying personal care needs and routine. Personal Care Attendant Program Bulletin . You may also need. The request for a fair hearing must be made in writing to the MassHealth Board of Hearings in accordance with the time lines described in 130 CMR 610. What is a Personal Care Attendant (PCA)? A PCA is a person recruited and hired by an individual (PCA Consumer-employer) to 101 CMR 309. The PCA consumer (the person receiving PCA services) is the employer of the PCA, and […] Jan 7, 2020 · The. The Complex Care Assistant competency training and comprehension program may be provided by a CSN agency or other organization that meets MassHealth requirements. If the PCM agency determines you need assistance to manage the PCA Program, you will be required to find a surrogate. 000: Personal Care Servic es and 130 CM R 450. Significant changes include, but are not limited to, the following: • eligibility criteria for receiving PCA services. This is a consumer-directed program, which provides personal care services for people with disabilities. +1 301 715 8592 US (Washington DC) +1 305 224 1968 US. The Executive Office of Health and Human Services (EOHHS) is updating and clarifying certain requirements about member requirements for communication as well as certain requirements for electronic visit verification. Fax: (617) 988-8973. 000: Administrative and Billing Regulations. XX March 2023. Sep 15, 2023 · The PCA must provide PCA services pursuant to 130 CMR 422. 000) Page 4-1 Personal Care Attendant Services Manual Transmittal Letter PCA-24 Date 01/01/22 422. 423; (2) Not provide any non-covered services as described in 130 CMR 422. 000; Complete required PCA New Hire Orientation; and Use the EVV application and time keeping system, if required to do so. CCM is responsible for assessing and approving CSN Personal Care Attendant Program Bulletin 15: COVID-19 Flexibilities after the End of the Public Health Emergency communicates provider requirements that were suspended during the Federal Public Health Emergency (FPHE) and that will be enforced after the FPHE ends. Jan 1, 2023 · MassHealth. All PCAs and transitional living providers participating in Senior Guide to Health Care Coverage [SACA-1 (03/24)] MassHealth Enrollment Guide. Specifically, the rates for PCA services are being updated in the MassHealth PCA program. Through our PCA Program, Tempus Unlimited serves over 7,000 individuals living in Massachusetts Nov 24, 2023 · Section 422. Approval required by primary care physician or nurse practitioner and MassHealth, who must determine that PCA services are medically necessary. An approval, modification, deferral, or denial for PCA services to the consumer by the MassHealth agency in accordance with 130 CMR 422. MassHealth and the FI cannot pay a PCA to work o when the PCA consumer is in an inpatient facility, such Or Telephone: Dial (for higher quality, dial a number based on your current location): +1 646 876 9923 US (New York) +1 646 931 3860 US. MassHealth chose to implement EVV for these programs through the PCA Program Fiscal Intermediary (FI). 000 states the requirements for the payment of continuous skilled nursing (CSN) services and complex care assistant services provided by a CSN agency. This is an unofficial version of Commonwealth regulations and is posted here for the convenience of the public. 421(A)(2), the PCM agency must conduct a written assessment of the member's capacity to manage PCA services independently and, if applicable, a written assessment of the ability of the surrogate or MassHealth is amending the Personal Care Attendant program regulations to update requirements regarding the management and utilization of personal care attendant (PCA) overtime hours, and update and clarify certain requirements of the MassHealth PCA program. Watch a Video on becoming a MassHealth PCA. 000) Page 4-4 Personal Care Manual Transmittal Letter PCA-18 Date 02/04/11 Overtime — activity time performed by a PCA for one member in excess of 40 hours per work-week. For each member determined initially eligible for PCA services in accordance with 130 CMR 422. lj qg ee wc yn wy yx uh pj lw