Help From an Attendant
The Personal Care Assistance (PCA) Medicaid Waiver, administered by the Department of Social Services, pays for the costs of a personal care attendant to assist individuals between ages 18 and 64 with a physical disability with their Activities of Daily Living (ADLs).
The intent of the program is to assist individuals with disabilities to accomplish ADLs, achieve a greater sense of independence and to provide an alternative to living in an institution.
It is important to understand that the individual on the PCA Medicaid Waiver is the employer of the personal care attendant. They assume several responsibilities as an employer including the hiring, training and, if necessary, firing of the personal care attendant. The individual should also define job responsibilities with the employee and determine scheduling and paying.
After approval for the PCA Medicaid Waiver is confirmed, the individual has 90 days to hire a personal care attendant. Wages are negotiated between the PCA Medicaid Waiver participant, who is the employer, and the personal care attendant up to a maximum rate. Payment is made on the behalf of the employer by a fiscal agency, who is responsible for all tax matters.