The PCA Choice option offers you greater control and choice. By choosing this option, you the consumer are acting as the employer of your direct support workers. That is referred to as “participant employer.” You are responsible for the finding, hiring, training, scheduling and firing of your staff. You are also responsible for finding your own back up staff and developing your own care plan. You must pick a PCA Choice provider agency by the date listed on your service agreement letter.

Both traditional PCA and PCA Choice agencies:

  • Bill the state for PCA services
  • Provide qualified professional supervision
  • Bill the state for qualified professional supervision
  • Pay and withhold taxes for personal care assistants and qualified professionals
  • Get criminal background checks done for staff
  • Maintain written agreements with you, personal care assistants, qualified professionals and responsible parties
  • Assure your staff have completed required training
  • Maintain enrollment as a PCA service provider

Under PCA Choice, you must:

  • Find, hire, train, schedule and fire your staff
  • Find back up PCA staff
  • Monitor and evaluate your staff
  • Maintain a written agreement with your PCA Choice provider agency
  • Maintain documentation of PCA tasks and actions
  • Work with your qualified professional to make sure your health and safety needs are met
  • Develop your care plan, with help from your qualified professional if needed
    Sign time sheets

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