PART OF Community Programs

Personal Care Management/PCA program

The Personal Care Attendant (PCA) Program is a MassHealth program that assists people with long-term disabilities live at home independently. This is a consumer-directed program, which provides personal care services for people with disabilities.

Through our PCA Program, Tempus Unlimited serves over 7,000 individuals living in Massachusetts, including Cape Cod and the Islands. This program serves people of all ages, disabilities and backgrounds. Options has staff who speak Spanish, Portuguese, Cape Verdean Creole, Haitian, Arabic, Russian, Chinese, and English.

Personal Care Attendants are hired, trained and supervised by the person with the disability (consumer). PCAs do not work for Tempus Unlimited, or any other agency – they work for the consumer. As the employer, a consumer chooses who to hire, sets up a PCA schedule and trains PCAs to meet his or her own personal needs. PCAs are paid based on timesheets that are sent to the Fiscal Intermediary.

If the consumer cannot independently manage his or her PCA program, the consumer may have the help of a surrogate. The surrogate is often a family member but may be any other person identified by the consumer who has the ability to manage the program.

For the Official Website of the Personal Care Attendant Quality Home Care Workforce Council please click here


PCAs can help with Activities of Daily Living (ADLs) such as:

  • Mobility/transfers
  • Passive range of motion
  • Taking medications
  • Bathing or grooming
  • Dressing or undressing
  • Eating
  • Toileting

PCAs can also help with Instrumental Activities of Daily Living (IADLs) such as:

  • Laundry
  • Shopping
  • Housekeeping
  • Meal preparation and clean-up
  • Transportation to medical appointments
  • Maintaining adaptive equipment

The Personal Care Attendant program is available to people with disabilities who meet the following conditions:

  • Have MassHealth Standard or CommonHealth or be enrolled with a Senior Care Option or 1Care Plan.
  • Physical assistance must be medically necessary.
  • Have a permanent or chronic disability that impairs their ability to perform activities of daily living without physical assistance.
  • Needs physical assistance with two or more activities of daily living.


Mass PCA Directory (helping Consumers looking for a PCA and helping PCA’s look for work): 

Mass PCA directory is sponsored by the PCA Workforce Council and it offers a comprehensive and current list of people in Massachusetts who are ready to provide personal care and consumers who are hiring PCAs. Visit to get started!

New how-to training videos are available for consumer-employers on how to use the Mass PCA Directory. Learn how to register, post a job and manage messages.

MassHealth PCA Program and overtime rules: 

Collective Bargain Agreement


Personal Care Management/PCA program:


800-924-7570 #3



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