Massachusetts Rehabilitation Commission
Home Care Assistance Program (HCAP)
Year In Review -SFY 2010
The original 2010 document with graphs can be downloaded as PDF. 
Number of Consumers Served: 1,528
Total HCAP Budget: $5,106,707
Average Annual Cost per Consumer: $2,615
Unmet Need for HCAP Services: 100 individuals on waiting list;
the HCAP Program stopped accepting new applications June 3, 2009
Who Are HCAP Consumers?
Age of Consumers Served
- Under 30 1%
- 30-39 6%
- 40-49 25%
- 50-59 67%
Disability Status of Consumers Served
- Other Physical 36%
- Psychiatric 33%
- Neurological 17%
- Brain Injury (TBI and ABI) 8%
- Respiratory 3%
- Cognitive 2%
- Other 2%
HCAP Demographics
Gender
Females: 66%
Males: 34%
Race/Ethnicity
Asian: 1%
African American: 12%
Caucasian: 80%
Hispanic: 6%
Other: 1%
What HCAP Consumers Have to Say:
"My home care assistant has been invaluable. My quality of life has risen, and my fear of going to a nursing home before I am a senior citizen has greatly lessened."
"Before I discovered the Home Care Program, my situation was dire. The program provides me with assistance in doing tasks that I cannot complete. I have been able to stay in my home and live a life as independent as possible."
"It isn't just prevention from being injured; it's keeping me in my home and assisting me to retaining my independence, preventing my eviction and ending up in a nursing home."
"I am impressed with my case manager's ability to advocate on my behalf. Thanks so much for helping me with feelings of self-worth and for consistent support with all the changes and assistance I need."
"Thank you so much for your home visit. I have been accepted into a transportation program. If it weren't for my Home Care case manager, I would not know about the other services available to me."
"My case manager's patience, care, and helpfulness in navigating the system were invaluable and are much appreciated."
"My homemaking services prevent me from slipping, sliding, and falling. I have more self-esteem and hope for the future."
The HCAP program provides a vital community living service which assists people with disabilities to remain independent in the community and to have a higher quality of life. A recent survey of HCAP consumers indicated the need for home care services far outweighs services provided to HCAP consumers based on current funding levels, highlighting the importance of the program to consumers.
Consumer Need Before HCAP
- Additional Service Hours Required to Meet Needs: 72.70%
- Current Service Hours Adequately Meet Needs: 25%
- Service Hours Exceed Needs: 2%
HCAP Case Managers provide ongoing service coordination, leveraging resources from other programs and agencies to support consumers in living independently. Listed below is the number of HCAP consumers referred by Case Managers to a wide range of additional supports.
- ER Systems: 50
- ASAP: 28
- AT: 39
- Food Assistance: 32
- PCA: 85
- Nursing/OT: 30
- Transportation: 73
- Other: 129
- ILC: 110
- Counseling: 68
- SHIP: 44
- DMH: 21
- GAFC: 67
- VR: 117
"The goal of our services is to promote dignity through employment and community living, one person at a time. We hope all citizens with disabilities in Massachusetts will have the opportunity to contribute as a productive member of their community and family as a result of services provided by the MRC."
Charles Carr, Commissioner
Previous Years
Massachusetts Rehabilitation Commission
Home Care Assistance Program (HCAP)
Year In Review -SFY 2009
The original 2009 document with graphs can be downloaded as PDF.
Number of Consumers Served: 1,900
Total HCAP Budget: $5,764,460
Average Annual Cost per Consumer: $3,034
Unmet Need for HCAP Services: 152 individuals on waiting list;
the HCAP Program stopped accepting new applications June 3, 2009
Age of Consumers Served
- Under 30 1%
- 30-39 7%
- 40-49 27%
- 50-59 65%
Disability Status of Consumers Served
- Psychiatric 28%
- Other Physical 22%
- Orthopedic 17%
- Neurological 16%
- Brain Injury (TBI and ABI) 7%
- Respiratory 4%
- Cognitive 3%
- Other 3%
HCAP Demographics
Gender
Females: 62.4%
Males: 37.6%
Race/Ethnicity
Asian: 0.5%
African American: 10.9%
Caucasian: 79.2%
Hispanic: 5.8%
Other: 3.5%
This information is provided by the Massachusetts Rehabilitation Commission.