The Personal Care Assistance (PCA) Program is a Medicaid Waiver authorized by CMS, designed to support adults ages 18–64 with physical disabilities who require nursing-facility-level care but wish to remain in their own homes. PCA allows eligible individuals to direct their own care — including choosing a trusted caregiver.
Who PCA Is For: Adults ages 18 to 64 with physical disabilities or chronic conditions that require significant daily assistance. If you need nursing-home-level care but want to stay home, PCA was designed for you.
18–64
Ages 18–64
Working-age adults with disabilities are supported at home
You
You Choose
Your caregiver — family member, friend, or neighbor
5 Stars
Rated by clients and caregivers across Connecticut
Cottage Homecare is Available in the Entire State of Connecticut
Cottage Homecare Services CT LLC is a contracted provider of Adult Family Living (AFL) and other Medicaid-funded programs, allowing Connecticut residents to hire their own caregiver anywhere in the state.
PCA services are tailored to your documented care needs and focused on supporting independence in daily life.
Bathing & Personal Hygiene
Assistance with bathing, showering, oral care, skin care, and grooming as needed each day.
Dressing Assistance
Help selecting, putting on, and removing clothing and footwear, including adaptive clothing if needed.
Mobility & Transfers
Support with safe movement around the home — bed-to-chair, chair-to-toilet, wheelchair navigation, and fall prevention.
Meal Preparation & Eating
Assistance with meal planning, preparation, serving, and eating support based on dietary and physical needs.
Toileting & Continence Care
Dignified assistance with bathroom use, incontinence products, and hygiene maintenance.
Medication Reminders
Non-clinical reminders and assistance to ensure prescribed medications are taken on schedule.
Light Housekeeping
Help with laundry, dishes, vacuuming, and maintaining a clean and safe living space.
Community & Appointment Support
Assistance accompanying you to medical appointments, community activities, or other essential outings.
Care Plan Management
Our registered nurses oversee your care plan, coordinate with DSS, and adjust services as your needs evolve.
Authorized hours and services are based on your individual functional assessment — our team helps document your needs with DSS.
Caregiver Support
You Choose Who Cares for You
One of the most powerful features of PCA is consumer direction — you select the person who assists you. Cottage Homecare handles enrollment, training, and payroll so your caregiver can focus on care.
Caregiver Training
Required program orientation
Skills development
DSS compliance training
Payroll Processing
Weekly pay schedule
Medicaid-funded compensation
All paperwork handled
RN Supervision
Care plan coordination
Regular follow-ups
Quality monitoring
Eligible caregivers include adult children, siblings, friends, and neighbors. Spouse eligibility depends on program rules and DSS review. Legal spouse may qualify in some cases.
Five steps from your first call to receiving care at home — we guide you through every one.
01
Reach Out To Us
Call us or fill out the form. Our team will review your situation and confirm whether you qualify — even if you are currently over the financial limits.
02
Application & Waitlist
We help you complete the DSS application and secure your waitlist position. Apply now — your position is based on application date, not when services start.
03
Assessment & Approval
A DSS functional assessment confirms your care needs. Our RN team documents your requirements thoroughly so DSS authorizes the right level of support.
Client Reviews
What Our PCA Clients Say
Caregivers and clients praise our PCA program with five-star ratings. Cottage Homecare holds a 5.0-star rating on Google.
“
I was told the PCA waitlist would take forever. Cottage Homecare helped me apply correctly and kept me informed every step of the way. I'm now receiving care in my own home.
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I care for my brother through the PCA program. Cottage handled all the paperwork and training. I get paid reliably every week and my brother gets the dignity he deserves.
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“
Being able to choose a trusted friend as my caregiver made all the difference. Cottage Homecare enrolled us quickly and has been there for every question we had.
Read full ↗
“
Living with a disability is hard enough — navigating Medicaid felt impossible. Cottage made it simple. Now I have the care I need and the independence I wanted.
Read full ↗
“
I was told the PCA waitlist would take forever. Cottage Homecare helped me apply correctly and kept me informed every step of the way. I'm now receiving care in my own home.
Read full ↗
“
I care for my brother through the PCA program. Cottage handled all the paperwork and training. I get paid reliably every week and my brother gets the dignity he deserves.
Read full ↗
“
Being able to choose a trusted friend as my caregiver made all the difference. Cottage Homecare enrolled us quickly and has been there for every question we had.
Read full ↗
“
Living with a disability is hard enough — navigating Medicaid felt impossible. Cottage made it simple. Now I have the care I need and the independence I wanted.
Read full ↗
FAQ
Frequently Asked Questions
Common questions about PCA eligibility, the waitlist, and services in Connecticut.
Grow With Us & Build Your Caregiver Career
We are actively looking for talented, dedicated certified home health caregivers.
