Home Care Program Overview
The Massachusetts Home Care Program provides support services to elders with daily living needs to help maintain independent community living. Services are designed to encourage independence and ensure dignity. The program also supports families caring for elders in order to encourage and relieve ongoing care giving responsibilities. The Home Care Program is administered by the Executive office of Elder Affairs in coordination with Aging Services Access Points (ASAPs), located in communities throughout the Commonwealth of Massachusetts. The program provides homemaker, personal care, day care, home delivered meals, transportation, and an array of other community support services to help elders remain in their homes. The ASAP conducts comprehensive needs assessments to determine eligibility for the Home Care Program as well as other programs and services as appropriate. An individualized service plan is developed with the elder and his/her family. On an ongoing basis, the ASAP conducts reassessments and monitors services for quality.
Eligibility for the Home Care Program is based on age (60 years or older or under 60 with a diagnosis of Alzheimer's disease and in need or respite services), financial status, and ability to carry out daily tasks such as bathing, dressing, and meal preparation.
FIL 2 2-3 ADL impairments
FIL 3 6-10 ADL/IADL impairments
Eligibility for the Home Care Program is based on age (60 years or older or under 60 with a diagnosis of Alzheimer's disease and in need or respite services), financial status, and ability to carry out daily tasks such as bathing, dressing, and meal preparation.
Eligibility for the Home Care Program
Age
60 years or older or under 60 with a diagnosis of Alzheimer's disease and in need of respite servicesCodes
Functional Impairment Levels (FIL) - Activities of Daily Living (ADLs) - Instrumental Activities of Daily Living (IADLs)Uniform Intake
Functional Impairment Level (FIL) 1-3, with critical unmet needsFunctional Impairment Levels
FIL 1 4-7 ADL impairmentsFIL 2 2-3 ADL impairments
FIL 3 6-10 ADL/IADL impairments
- Activities of Daily Living (ADLs) include bathing, dressing, eating, toileting, continence, transferring, and mobility
- Instrumental Activities of Daily Living (IADLs) include meal preparation, shopping, laundry, managing money, housework, transportation, use of telephone, outdoor mobility, and taking medicine
- Critical Unmet Needs include ADLs, meal preparation, shopping, medical transportation, and need for home health services or respite care
Financial
MassHealth members are financially eligible. Income guidelines require Annual Gross Income less than $24,838/single and 35,145/couple.Monthly Co-Payments
- $9-$130 for individuals with incomes that range from $10,924-$24,837
- $17-$140 for couples with incomes that range from $14,646-$35,144
Respite Over-Income Scale
- 50%-100% of cost of services
