Info for Consumers

This page contains important information for consumers to help them manage their PCA program. Consumer set up forms, links to the Mass PCA Directory, and PCA Homecare Quality Workforce Council can all be found here. Please download the form or use the link to the information you are looking for.

Consumer Forms

Below you will find the forms you need to complete and return to us to begin your participation in the FI program - and to make sure your PCAs get paid for the work that they do

Consumer Welcome Letter

Complete Employer Packet

Consumer Information Form

This form lets us know who you are and which Provider Agency you work with, and provides us with important information to get you started in our F.I. Program.

Consumer Agreement

Every consumer must sign a Consumer Agreement, this will allow us to act as your Fiscal Employer Agent. This also indicates that you understand what your obligations are as a PCA Consumer.

Consent to Use Payroll Processing Agent

Stavros F.I. contracts with PAI Services to process payroll for your PCAs: your PCAs' checks are printed there. Your signature means you are acknowledging that you are aware of this. This form must be signed by you!

Department of Industrial Accidents Notice to Employees

As an employer in Massachusetts you need to post this Notice where your PCAs can see it. In the event that one of your PCAs injured while working for you the name and telephone number of your Workers' Compensation Insurance company are on this form. Please fill in your name and address before posting.

Stavros Center for Independent Living Grievance Procedures

If you are not happy with the services you are receiving use the steps as outlined in this document to file an official complaint.

Stavros Center for Independent Living Notice of Privacy Practices

This notice explains how we handle your confidential records at Stavros.

Union Deduction Schedule

This authorizes Stavros to inspect and receive tax information for the payroll taxes and forms indicated on line 3(a) and 3(b). The Form 8821 is renewable and will need to be updated every 3 years.

Form 8821, Tax Information Authorization

This authorizes Stavros F.1. to inspect and receive tax information for the payroll taxes and forms indicated on line 3(a) and 3(b). The Form 8821 is renewable and will need to be updated every 3 years.

Form SS-4, Application for Employer Indentification Number (EIN)

MassHealth regulations state that each consumer will be an employer and must obtain an EIN to report their PCA's withholding taxes to the Internal Revenue Service. This form must be completed by you, the consumer, and your name should appear exactly as it does on your Social Security card.

Form 2678, Employer/Payer Appointment Agent

This form allows Stavros to file the appropriate reports for your PCA's payroll with the Internal Revenue Service. This form must be completed by you - the consumer - and your name should appear exactly as it does on your Social Security card.

Form M-2848, Power of Attorney and Declaration of Representative (Massachusetts DOR)

This form allows the Stavros to represent you with the Massachusetts Department of Revenue (DOR - the people who collect state taxes) in case there is ever an issue with your Mass DOR account. This form must be completed by you - the consumer - and your name should appear exactly as it does on your Social Security Card.

Termination Form

Overtime and Travel Regulations

Overtime and Travel Time

Paid Family Medical Leave Act

Frequently Asked Questions

If you have a question that isn’t answered, visit our FAQ page or Contact us by email and we will provide help.

What is PCA Orientation?

PCAs who have never worked in the MassHealth PCA program are required to complete the 3-hour PCA orientation program. Orientation can be done by consumers or in a group setting. Consumers who hire PCAs that require orientation will be sent a letter by Stavros Fiscal upon set up.

The consumer has the option of doing the orientation themselves, online. However, they have three months from the initial notice to complete the orientation with their PCA. After three months, a PCA must attend a group session with the Homecare Training Benefit.

A consumer must return the Consumer Options Notice to Stavros Fiscal to receive the orientation materials by mail or to preform the orientation with their PCA online. The consumer and PCA will not have access to the online orientation until the Consumer Options Notice is returned and processed by us.

Online Orientation

You can access the online orientation program here. Instructions for accessing the online orientation program can be found here.

Instructions for accessing the online orientation program can be found by clicking the link below:

Instructions for Online Orientation for PCA New Hires

Group Orientation

A Consumer can also send their PCA to a group orientation presented by the Homecare Training Benefit. Please call 1-877-409-8283 to schedule an orientation session.

Only surrogates who are the parent of a consumer under the age of 18 can provide the orientation to a PCA on behalf of their consumer. Otherwise, surrogates cannot provide the orientation. PCAs who fail to complete the orientation program within nine months of their date of hire will be subject a $1.00 per hour post tax payroll deduction.

My check was mailed out, but I haven't received it…what should I do now?

Please give us a call on Monday. If we are able to verify that you have been paid - and that shouldn't be a problem if we've gotten your timesheets on time - you may request that we put a stop payment on the check(s). We will issue new checks after five business days - sorry, but we can't make exceptions.

What do I do if I receive the check I placed a stop payment on previously?

Your PCAs won't be able to cash these checks, so please write VOID across the check and mail it back to our office as soon as you can.

Why didn't I get paid for all the hours submitted on my timesheet?

The answers to this question could vary. So we recommend that you call our Customer Service Department.

Did you receive my new approval?

You should be receiving notification from MassHealth in regards to your approved hours and dates of service. You should also be receiving a letter from the PCM (Provider Care Management) agency. We do not send any letters from the FI office.

Why doesn't a PCA get paid when a consumer is in the hospital or long term care facility?

This is a regulation set by the Commonwealth of Massachusetts. There are no exceptions.

Can I have copies of my payroll registers?

You can request copies of payroll registers by calling our Customer Service Department.

When are your fax machines on?

All the time. Just be sure to fax them to one of the fax numbers listed on the timesheets.

What is earned Paid Time Off (PTO)?

PCAs earn 1 hour of paid time off (PTO) for every 30 hours worked. For more information, please refer to the PTO terms (click the link below) created by MassHealth for rules and regulations regarding earned PTO.

PTO terms

PCAs can view their earned PTO online here.

Instructions for using the PTO portal in English and Spanish are available by clicking the link below:

Paid Time Off Portal Instructions

What is the 1199 SEIU Union?

All PCAs in the commonwealth now have a union that they can join. There are several ways to get an application:

Download an application from this website

Request an application from the union

Request an application from our Customer Service Department

How do I access my paystubs online?

PCA paystubs are now available online.

First time users will need to follow the first time login procedures. A brief User Guide has been created to help a PCA login and navigate the portal.

The User Guide can be downloaded in both English and Spanish versions by clicking the link below.

Brief PCA Portal Guide

What do I do if I have some ideas that might be helpful for your program?

We always welcome new ideas that will help us better serve you. Please let our Customer Service Department know about your ideas via email.

What are your business hours?

We have the Customer Service Department available to answer your calls 9:00 A.M. to 5:00 P.M. Monday through Friday.

When should I expect to receive my payroll checks?

If we get your timesheets before noon on Tuesday and it is properly filled out, you can expect to receive your check(s) by Friday.

How many hours do I have left on my approval for regular hours and for holidays?

If you would like to learn the unused balance of your regular or holiday hours, please contact our Customer Service Department.

Why did I get a letter from the Fiscal Intermediary saying I was overusing my hours?

We send you letters notifying of overuse in order to make sure you do not run out of hours toward the end of your approval. If you have any questions about our findings, please contact our Customer Service Department.

Can you explain the overuse letter to me?

We calculate the overuse hours on the last two timesheets you submit covering four weeks. During this period, if your use exceeds four times your weekly allowable hours indicated on your approval, then we send an overuse letter. If we see the overuse continue over three pay periods, then we request skills training from the PCM you are affiliated with. If we see continued overuse, then we must report it to MassHealth. MassHealth may then "cap" your hours, meaning that we can't pay you for more than your weekly approved hours.