Independence Associates - Center for Independent Living

PCA Overtime Changes!

Since August 2016, MassHealth has been working with PCA consumers and other stakeholders about managing PCA overtime.

Based on the feedback they received, MassHealth has made important changes to the PCA Overtime Management requirements. MassHealth is increasing the number of hours a PCA can work before an overtime approval is required, to 50 hours per week. Additionally, MassHealth is updating the overtime approval criteria.

What changes have been made to PCA Overtime Management?

The number of hours one PCA can work providing MassHealth PCA services without requiring overtime approval has increased to 50 hours each week. The 50-hour limit applies if the PCA works for you, or for you and other PCA consumers.

MassHealth has also developed new criteria to better reflect consumers’ needs in determining whether you will be approved to schedule an individual PCA to work more than 50 hours per week. The new criteria are contained in the revised Overtime Request Form, which is available at: http://www.mass.gov/eohhs/consumer/insurance/masshealth-member-info/pca.

What do I have to do now?

If you have an individual PCA that works more than 50 hours per week and you haven’t submitted an overtime request form, you will need to send your PCM Agency an Overtime Request form to request approval to schedule an individual PCA more than 50 hours per week.

If you don’t know who to call, please call MassHealth Customer Service Center at 1-800-841-2900 (TTY: 1-800-497-4648). They can help you find your PCM agency.

What if I already received an approval for my PCA to work overtime?

If you already received an approval for your PCA to work overtime, your approval remains in effect until the expiration date noted on the approval letter.

If your overtime approval is expiring and you continue to require an individual PCA to work more than 50 hours per week, you will need to send your PCM Agency another Overtime Request form.
Questions?

Information about PCA overtime management and the Overtime Request Form is online at http://www.mass.gov/eohhs/consumer/insurance/masshealth-member-info/pca.

You can contact your Personal Care Management (PCM) agency. Your PCM will have all the latest information.


As your PCM Agency, we will:

    * Explain the new regulations to you and help you understand if the regulations affect you
    * Assist you in filling out the overtime request form, should you need it
    * Submit the completed overtime authorization form to MassHealth for review
    * Notify you of MassHealth’s decision of your overtime request
    * Provide Skills Training to you to help you understand the new regulations
    * Provide Skills Training to you to help you recruit and hire additional PCAs
    Notify you when your overtime authorization is going to expire




Independence Associates Center for Independent Living
100 Laurel Street, Suite 122, East Bridgewater MA 02333
V/TDD: 508-583-2166 or 800-649-5568
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