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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 $28,865/one person and $40,842/two person family.

  • Monthly Co-Payments
    • $10 - $141 for individuals with incomes that range from $12,849 - $28,865
    • $18 - $152 for couples with incomes that range from $17,303 - $40,842
    • 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: 1/15/2020

Effective Date: 3/01/2020

 

Voluntary Co-Payment:

Family Size Annual Gross Income Voluntary Monthly Co-payment
1 $12,848 or less $10.00
2 $17,302 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
$12,849 - $15,486 $10.00 $17,303 - $21,343 $18.00
$15,487 - $18,272 $13.00 $21,344 - $25,654 $23.00
$18,273 - $20,182 $27.00 $25,655 - $27,824 $52.00
$20,183 - $21,262 $39.00 $27,825 - $29,989 $78.00
$21,627 - $23,067 $49.00 $29,990 - $32,160 $92.00
$23,068 - $24,505 $69.00 $32,161 - $34,333 $110.00
$24,506 - $25,950 $90.00 $34,334 - $36,497 $120.00
$25,951- $27,386 $125.00 $36,498 - $38,6701 $139.00
$27,387 - $28,865 $141.00 $38,671 - $40,842 $152.00

 

Cost Sharing for Over Income:

One Person Annual Gross Income Monthly Co-payment Two Person Family Annual Gross Income Monthly Co-payment
$28,866 - $31,276 50% $40,843 - $42,225 50%
$31,277 - $33,621 55% $42,226 - $44,568 55%
$33,622 - $35,968 60% $44,569 - $46,918 60%
$35,969 - $38,313 65% $46,919 - $49,262 65%
$38,314 - $40,657 70% $49,263 - $51,607 70%
$40,658 - $43,007 75% $51,608 - $53,952 75%
$43,008 - $45,348 80% $53,953 - $56,299 80%
$45,349 - $47,695 85% $56,300 - $58,644 85%
$47,696 - $50,045 90% $58,645 - $60,988 90%
$50,046 - $52,388 95% $60,989 - $63,337 95%
$52,389 and over 100% $63,338 and over 100%

 

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