Pursuant to a Jan 2019 record request, we obtained a copy of two subregulatory documents developed by MassHealth regarding Personal Care Attendant (PCA) services. Neither document is new, but both are currently in use at least as of Jan 2019. One is the Time for Task Guidelines, dated 11-16-11, which provides average times that it would ordinarily take to perform various personal care services. The other document is a 95 pp set of PCA Operating Standards that describe operations of the Prior Authorization Unit (PAU) dated 5-28-15. Currently, Optum is functioning as the PAU with respect to PCA services. These documents should be helpful to advocates with PCA cases.
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