Short answer
Generally no
No. MassHealth PCA rules say a PCA can't be a family member, which includes the member's spouse, the parent of a minor member, or any legally responsible relative. A PCA also can't be the member's surrogate, administrative proxy or foster parent (130 CMR 422.402, 422.404(A)(1)(d)).
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The programs to ask about, documents to gather, and who to call in Massachusetts. Print it now, no email needed.
Programs to ask about in Massachusetts
1
MassHealth Personal Care Attendant (PCA) program
Members hire and manage their own personal care attendants.
2
MassHealth Adult Foster Care (AFC)
A caregiver who lives with the member gets paid through an AFC provider.
How to apply
Unverified – contact MassHealth.
If a spouse can't be paid, another relative often can. See who can be paid in Massachusetts.
Before you act: rules change and individual eligibility depends on your assessment. Confirm with the program. This page summarizes official sources and does not promise eligibility or pay.