Massachusetts Rehabilitation Commission
Home Care Assistance Program (HCAP)
Year In Review -SFY 2012 

The information below is also available in document format with graphs. Home Care Assistance Program 2012 pdf format of Home Care Assistance Program 2012
doc format of Home Care Assistance Program 2012

Number of Consumers Served: 1,366
Total HCAP Budget: $4,337,006
Average Annual Cost per Consumer: $3,204
Unmet Need for HCAP Services: 150 individuals on waiting list.

Who Are HCAP Consumers?

Age of Consumers Served
  • Under 30 1%
  • 30-39 7%
  • 40-49 25%
  • 50-59 67%
Disability Status of Consumers Served
  • Other Physical 36%
  • Psychiatric 33%
  • Neurological 16%
  • Brain Injury (TBI and ABI) 8%
  • Respiratory 3%
  • Cognitive 2%
  • Other 2%
HCAP Demographics

Gender
Females: 65%
Males: 35%

Race/Ethnicity
Asian: 0.6%
African American: 10.3%
Caucasian: 75.6%
Hispanic: 8.4%
Other/not identified: 5.1%

What HCAP Consumers Have to Say:


"I am a grateful recipient of the MRC Home Care Assistance Program. I have multiple disabilities…I believe the program is life saving…Being nourished and living a healthy lifestyle can help reduce health care costs and hospitalizations.”

“Without HCAP, I would be out on the street because everything falls apart. Before HCAP, I used to trip over things and I could break my neck.”


Who Refers Consumers to HCAP?

  • ILC 13%
  • ASAP 16%
  • Hospitals 10%
  • Outpatient 11%
  • VNA 18%
  • Rehab/SNF 5%
  • Housing 7%
  • GAFC 5%
  • MS Society 2%
  • SHIP 1%
  • VR 2%
  • Protective Services 1%
  • Other 9%

The HCAP Program staff maintain on-going relationships with other community organizations and health care providers. The breadth of these connections is illustrated by the types of organizations that make referrals to the program.

In response to decreased funding, the program was closed to new applicants from June 2009 through June 2011. Between July 1, 2011 and June 30, 2012, a total of 1,246 individuals contacted the program to apply for services or to refer someone.

HCAP Case Managers provide ongoing service coordination, leveraging resources from other programs and agencies to support consumers in living independently. This graph shows the wide range of additional supports that HCAP consumers are referred to by Case Managers. In response to decreased funding, the program was closed to new applicants from June 2009 through June 2011. Between July 1, 2011 and June 30, 2012, a total of 1,246 individuals contacted the program to apply for services or to refer someone. 

  • 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

More Consumer Comments:
“The Home Care Assistance Program has allowed me to continue living in my home and community, for which I am grateful. Without this program, I would most likely have to go to live in a group home or a nursing home, since I can no longer do the things it takes to run a household. Essentially, I would be institutionalized.”

“My homemaking services prevent me from slipping, sliding, and falling. I have more self-esteem and hope for the future.”

“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.”
– HCAP Consumer


"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


This information is provided by the Massachusetts Rehabilitation Commission.