How do One Care members get Personal Care Attendant (PCA) services?

If you think you may need PCA services, let your PCP or care team know that you would like an assessment for Personal Assistance Services (PAS) to see if your needs meet the criteria for a PCA. You will also be asked about any needs for Long Term Services and Supports (LTSS), including any need for personal assistance services, during your comprehensive assessment. In general, to qualify for PCA services, you need to have a chronic or permanent disability that stops  you from doing your own personal care, and you have to  need  (hands-on) help  with 2 to 7 Activities of Daily Living (ADLs). This includes bathing, dressing, taking medications, cooking, eating, toileting, and laundry. If you need cueing and monitoring to complete some ADLs, you may be able to get PCA services as well. PCA support with cueing and monitoring is only available through One Care. Your care team and Long-Term Supports (LTS) Coordinator (if you choose to get one) will help guide you through the process of getting a PAS evaluation and PCA services as you may need. 

If you do not qualify for PCA services, your care team can help you think through other support services that may be available to meet your needs.  All One Care members also have the option to have a Long-Term Supports (LTS) Coordinator who may be able to give  more  education and support around your options. If you need more help understanding PCA services, contact My Ombudsman.