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Personal Care Attendant Signature Form THE COMMONWEALTH OF MASSACHUSETTS Executive Office of Health and Human Services Name of fiscal intermediary (FI) All PCA's hired by a PCA consumer must fill
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What is personal care attendant?
A personal care attendant is a trained individual who provides assistance with daily activities, such as bathing, dressing, and meal preparation, to individuals who may have physical or cognitive limitations.
Who is required to file personal care attendant?
Individuals who hire personal care attendants for themselves or family members are required to file personal care attendant.
How to fill out personal care attendant?
To fill out personal care attendant, you need to provide information about the attendant's services, hours worked, and wages earned.
What is the purpose of personal care attendant?
The purpose of personal care attendant is to ensure that individuals who need assistance with daily activities receive the necessary support to maintain their health and well-being.
What information must be reported on personal care attendant?
Information that must be reported on personal care attendant includes the attendant's name, contact information, services provided, hours worked, and wages earned.
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