MedicaidDocumentationMedium impact
Personal Care Attendant Bulletin 17: Primary Care Provider Summary Form Requirement for Personal Care Attendant Complex Care
MassHealth·MA · Family Medicine, Internal Medicine, General Practice +1 more·Provider Bulletin
Effective date
Jun 1, 2025
We identified it
Jun 18, 2026
Summary
MassHealth is implementing a new Personal Care Attendant (PCA) complex care add-on requiring a Primary Care Provider Summary Form for members needing assistance with digital rectal stimulation or enteral tube feedings. Primary care providers must complete this form to document clinical appropriateness before PCAs can perform these complex care tasks.
Action Required
By June 1, 2025: Primary care providers must complete PCP Summary Forms for MassHealth members requiring PCA assistance with digital rectal stimulation or enteral tube feedings. Forms must document member's diagnoses, medications, conditions requiring assistance, and confirm clinical appropriateness for PCA to perform tasks. Download forms from mass.gov/masshealth-personal-care-attendant-program and return to PCM agencies or members. Note: Tube feeding assistance will not be authorized for members with aspiration risk.