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Check eligibility guidelines for home care

Some programs are open to all, some have specific eligibility requirements. Any senior or individual with a disability is eligible for a free in-home assessment and personalized package of information.

Call (800) 243-4636 for additional details.

Age & Residence

60 years and older or under 60 with a diagnosis of Alzheimer's disease and in need of respite services. Consumers must be living at home in Massachusetts and not in an institutional setting or Assisted Living Residence.

Financial

MassHealth members are financially eligible. Income guidelines require Annual Gross Income less than $28,410/single and $40,199/couple.

  • Monthly Co-Payments
    • $10 - $141 for individuals with incomes that range from $12,647 - $28,410
    • $18 - $152 for couples with incomes that range from $17,031 - $40,199
    • See specific cost-share schedules below.
       

Over-Income Scale: (For those with a higher income than those listed above.) 

  • 50% - 100% of the cost of services received monthly, based on a person's individualized care plan.
  • See specific cost-share schedules below.
     
  • Note on Over-Income Scale: Each person's care needs are different and can change based on a variety of factors. This can affect the type of services necessary to support care needs and the cost of services. A regional elder care agency, that works in partnership with the State Home Care Program, will work with you to access services based on your care needs and goals. For more information call: (800) 243-4636.    

Voluntary Co-Payment and Cost Sharing Schedules

Issue Date: 1/15/2019

Effective Date: 3/01/2019

 

Voluntary Co-Payment:

Family Size Annual Gross Income Voluntary Monthly Co-payment
1 $12,646 or less $10.00
2 $17,030 or less $18.00

 

Cost Sharing for Home Care:

One Person Annual Gross Income Monthly Co-payment Two Person Family Annual Gross Income Monthly Co-payment
$12,647 - $15,242 $10.00 $17,031 - $21,007 $18.00
$15,243 - $17,984 $13.00 $21,008 - $25,250 $23.00
$17,985 - $19,864 $27.00 $25,251 - $27,386 $52.00
$19,865 - $21,285 $39.00 $27,387 - $29,517 $78.00
$21,286 - $22,704 $49.00 $29,518 - $31,654 $92.00
$22,705 - $24,119 $69.00 $31,655 - $33,792 $110.00
$24,120 - $25,541 $90.00 $33,793 - $35,922 $120.00
$25,542 - $26,955 $125.00 $35,923 - $38,061 $139.00
$26,956 - $28,410 $141.00 $38,062 - $40,199 $152.00

 

Cost Sharing for Over Income:

One Person Annual Gross Income Monthly Co-payment Two Person Family Annual Gross Income Monthly Co-payment
$28,411 - $30,783 50% $40,200 - $41,560 50%
$30,784 - $33,092 55% $41,561 - $43,866 55%
$33,093 - $35,402 60% $43,867 - $46,179 60%
$35,403 - $37,710 65% $46,180 - $48,486 65%
$37,711 - $40,017 70% $47,487 - $50,794 70%
$40,018 - $42,330 75% $50,795 - $53,102 75%
$42,331 - $44,634 80% $53,103 - $55,412 80%
$44,635 - $46,944 85% $55,413 - $57,720 85%
$46,945 - $49,257 90% $57,721 - $60,028 90%
$49,258 - $51,563 95% $60,029 - $62,340 95%
$51,564 and over 100% $62,341 and over 100%

 

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