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130 CMR 422.000 - Personal Care Attendant Services (member responsibilities and PCM agency obligations, §§ 422.419-422.420)

MassachusettsregulationMassHealth (Massachusetts Executive Office of Health and Human Services / Division of Medical Assistance)· effective 2026-07-03

What this rule requires your agency to do

  • 1The PCM agency must conduct a formal, written assessment of the member's ability to manage PCA services. (130 CMR 422.419(A)(4))(130 CMR 422.000 - Personal Care Attendant Services (member responsibilities and PCM agency obligations, §§ 422.419-422.420))
  • 2The PCM agency must submit all requests for prior authorization for PCA services on behalf of the member. (130 CMR 422.419(A)(6))(130 CMR 422.000 - Personal Care Attendant Services (member responsibilities and PCM agency obligations, §§ 422.419-422.420))
  • 3The member must employ only PCAs who meet the requirements of 130 CMR 422.404 and not schedule a PCA beyond authorized hour limits. (130 CMR 422.420(A)(5) & (A)(7))(130 CMR 422.000 - Personal Care Attendant Services (member responsibilities and PCM agency obligations, §§ 422.419-422.420))
  • 4The member must hire, terminate, schedule, and train their own PCAs, acting as the employer. (130 CMR 422.420(A)(6))(130 CMR 422.000 - Personal Care Attendant Services (member responsibilities and PCM agency obligations, §§ 422.419-422.420))
  • 5The PCM agency must maintain a communication system that is accessible to members on a 24-hour basis. (130 CMR 422.419(A)(1))(130 CMR 422.000 - Personal Care Attendant Services (member responsibilities and PCM agency obligations, §§ 422.419-422.420))
  • 6The PCM agency must provide the member with functional skills training instruction on managing and directing their PCAs. (130 CMR 422.419(A)(9))(130 CMR 422.000 - Personal Care Attendant Services (member responsibilities and PCM agency obligations, §§ 422.419-422.420))
  • 7The member (consumer) must complete and sign the standard consumer agreement supplied as a condition of receiving PCA services. (130 CMR 422.420(A)(1))(130 CMR 422.000 - Personal Care Attendant Services (member responsibilities and PCM agency obligations, §§ 422.419-422.420))

Applies to: personal care; consumer-directed home-based personal care attendant services

Massachusetts regulation 130 CMR 422.000 governs the MassHealth consumer-directed Personal Care Attendant program. It defines the consumer (member) as the employer of the PCA and sets member rights/responsibilities (§422.420) and the obligations of the Personal Care Management (PCM) agency to support and assess the member (§422.419), including 24-hour access and functional skills training.

Regulatory information, not legal advice — always confirm against the cited official source. Verification reduces error; it does not certify compliance.