Personal Care Attendant 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 about 4,300 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

If a consumer needs help at night, such as for repositioning or toileting etc., PCA time can be approved for Night Attendant services.

PCA time is NOT approved for:

  • babysitting
  • recreation
  • advocacy
  • cueing, prompting, guiding or coaching
  • supervision
  • safety


Payroll and tax filing and reporting are usually handled by the Fiscal Intermediary, although some consumers do choose to handle this
function themselves. PCAs are covered by Workers Compensation and Unemployment Insurance.


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

  • Personal Care Services are prescribed by a physician or nurse practitioner
  • 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


Personal Care Attendant

Service area: Servicing the state of Massachusetts


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!

MassHealth PCA Program and overtime rules:

MassHealth Paid Family and Medical Leave in Massachusetts:

Collective Bargain Agreement

CBA Letter to Consumers PCA (English)

CBA Letter to Consumers PCA (Spanish)

PTO Terms (English)

PTO Terms (Spanish)


Tempus PCA Consumer Handbook

PFML Notice

PFML Notice MassHealth PCA Program 2021.01 - English

PFML Notice MassHealth PCA Program 2021.01 - Spanish

To apply for PFML, PCAs should call:

The Department of Family and Medical Leave


8:00am to 5:00pm



Use and Disclosure of your Protected information by Tempus Unlimited

Use and Disclosure – Your information, Your Rights, Our Responsibility (PCM)


New Referral Form


Personal Care Attendant Program Brochure


Contact Us