Home Care Program

The Home Care Program provides care management, care coordination, advocacy, education, and in-home and community support services for adults 60+, people with disabilities, and people under age 60 living with Alzheimer’s disease or related dementia.  

Table of Contents

About the Home Care Program

Home care services, including the Frail Elder Waiver, are available to Massachusetts residents and help adults aged 60+, people with disabilities, and people with early on-set Alzheimer’s Disease or related dementia successfully age in place. 

Home care services are also available to individuals under the age of 60 if the person has early on-set Alzheimer’s Disease or related dementia to successfully age in place.    

Home Care Program Services

Services are available based on assessed need, and cost for those services are determined based on income. Services provided by the Home Care Program may include the following: 

Adaptive housing/equipment
Adult day health 
Alzheimer’s / dementia coaching
Assistive Technology for Telehealth
Behavioral health services
Certified Older Adult Peer Specialists (COAPS)
Chore services
Companion services
Complex Care Training and Oversight
Dementia day care
Electronic Comfort Pets
Emergency shelter
Evidence Based Education Programs
Family caregiver support program
Goal Engagement
Grocery shopping/delivery
Home based wandering response systems
Home delivered meals
Home delivery of pre-packaged medication
Home health services
Home Safety –Independence Evaluation
Homemaker services
Information and referral
Laundry service
Medication dispensing system
Money management
Nutritional assessment
Orientation and mobility
Personal care
Personal emergency response system
Respite care
Supportive day care
Supportive home care aide
Transitional assistance
Virtual Communication and Monitoring
Vision rehabilitation

Benefits of Home Care


  • Care coordination by trained, professional Care Managers and Nurses  

  • Support & professional assistance through the ASAP Network  

  • Help with navigating a vast array of care needs  

  • Having an advocate to address concerns  

Care Management  

  • Knowledgeable in age-appropriate topics, assessing and problem resolution  

  • Management of comprehensive care plans, as well as regular case assessment to address any new needs 

  • Engagement with community and service providers  

  • Referrals & connection to other community resources/partners  

Service Provider Network  

  • Adheres to programmatic standards  

  • Regularly monitored & audited  

  • Staff vetted through CORI and OIG Exclusion List  

  • Contracts with state accepted providers for specific services  

Service Rates  

  • Leverages rate setting established by MassHealth for specific services  

  • Set contracted & negotiated service specific rates with the ASAP  

  • Less expensive than Private Pay  

  • No minimum service plan required


Eligibility for the Home Care Program is determined by need and based on age, residence, and ability to carry out daily tasks.

Applicants for the Home Care Program must be living at home within Massachusetts outside of an institutional or Certified Assisting living setting.


Cost of Home Care services is based on income. Cost share guidelines can be found here.


To learn more contact MassOptions at 1-800-243-4636. Call Specialists are available Monday-Friday, 9:00 AM - 5:00 PM (interpreter services are available in 100+ languages).

Additional Resources

Help Us Improve Mass.gov  with your feedback

Please do not include personal or contact information.