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California’s Medicaid Personal Care Assistants: Characteristics and Turnover Among Family and Non-Family Caregivers

Personal care assistants (PCAs) provide support that enables older adults and individuals with disabilities to remain in home and community settings. This study characterizes the role played by family members and non-family PCAs in California’s Medicaid program, which oversees the nation’s largest consumer-directed personal care assistance program. We describe factors that affect turnover among PCAs, because turnover is associated with lower quality of care and adverse outcomes for recipients.

This study characterizes the role played by family members and non-family personal care assistants (PCAs) in California’s Medicaid program, which oversees the nation’s largest consumer-directed personal care assistance program.

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This report was produced by the UCSF Health Workforce Research Center on Long Term Care. For additional information and resources, visit: healthworkforce.ucsf.edu