MassHealth work group flags rapid growth in PCA program, recommends overtime cap and fraud controls
Apr 28, 2025
Leslie Darcy, chief of MassHealth’s Long Term Services and Supports, told the commission that a legislative work group reviewing the Personal Care Attendant (PCA) program reached three consensus recommendations: enforce a 66‑hour overtime cap, address fraud and eliminate certain paperwork for members required to use electronic visit verification (EVV).
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Leslie Darcy, chief of MassHealth’s Long Term Services and Supports, told the Mass. Commission on the Status of Persons with Disabilities’ Long Term Services and Supports and Health Equity Subcommittee that a legislative work group met five times between October and February to examine the Personal Care Attendant (PCA) program and reached three consensus recommendations. “The group was able to reach three consensus recommendations,” Darcy said, listing enforcement of an overtime cap, addressing fraudulent activity and removing certain PCA administrative paperwork for members required to use electronic visit verification (EVV).
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