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Personal Care Assistance (PCA) Services

Personal Care Assistant (PCA) services, a type of non-medical home care, help older adults and people of any age with a disability live independently at home and at work and to engage with their communities. A Personal Care Attendant is the personal support worker who is typically employed by the older adult or person with a disability or their authorized representative.

The individual or their authorized representative handles numerous tasks during the employment of the PCA. The employer: hires, trains and evaluates the PCA's performance, determines schedules and defines job tasks. In other words, the PCA works for the individual. A fiscal intermediary is used for all payroll and applicable taxes/insurances.

There are also agency-based PCA services available in which the PCA is employed by an agency but performs personal support services which are also person-centered.

Eligibility Criteria 

Individuals receiving a PCA through a Medicaid Waiver or through Community First Choice would need to meet other eligibility criteria.

If the PCA is provided by an agency and not covered by Medicaid, that agency would determine eligibility.

Services and Fees

PCA services assist individuals with activities of daily living (ADLs) such as: bathing, transferring, toileting, eating and dressing.

These services also assist individuals with their instrumental activities of daily living (IADLs), such as errands and social outings with friends, support in their workplace, provide companionship for recreational activities and manage the household, as well as additional needs.

Financial Options for Personal Care Assistance (PCA) Services

Find in Your Area

Beneficiaries of a PCA through a Medicaid Waiver can choose their own attendant that best suits their needs. Visit the Hire a Caregiver section to learn about the steps to take to hire a personal care attendant.


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