Personal Care Assistance services (PCA) provides assistance and support for persons with disabilities, living independently in the community. This includes the elderly and others with special health care needs. PCA services are provided in the recipient’s home or in the community when normal life activities take him or her outside the home.
Four categories of personal care assistance (PCA) services are eligible for payment from Medical Assistance:
A personal care assistance (PCA) worker may assist in these four categories of PCA services if the following criteria are met:
PCA services may not meet all of the needs of the person. Referrals to other resources and services may be required.
PCA services require prior authorization for payment.
Activities of daily living (ADLs)
A PCA worker may assist the person with the following ADLs:
Instrumental activities of daily living (IADLs)
A PCA worker may assist an adult with the following:
A PCA worker may assist a child with IADLs when:
Observation and redirection of behaviors
A PCA worker may observe and provide redirection to the recipient for episodes of behavior needing redirection as identified in the care plan.