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 services

Codes

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 needs

Functional Impairment Levels

FIL  1  4-7 ADL impairments

FIL  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