Home Care Services in Massachusetts provide a range of in-home and community support services to help adults aged 60+, people with disabilities, and individuals with early-onset Alzheimer's disease or related dementia to age in place successfully. Services include: 

• Personal care assistance 

• Homemaker services 

• Home health services 

• Meal preparation and delivery 

• Transportation 

• Adult day health 

• Respite care 

• Adaptive equipment 

• Behavioral health services 

2. Regulations 

Home Care Services are governed by: 

• 130 CMR 403.000: Home Health Agency 

• Chapter 111, Section 51K of the Massachusetts General Laws 

3. Licensing or Certification 

Home health agencies must obtain a license from the Department of Public Health. Other home care service providers may need to meet specific certification requirements depending on the services offered. 

4. Responsible State Agency 

The Executive Office of Elder Affairs (EOEA) and MassHealth oversee Home Care Services. 

5. Application Process 

Individuals can apply for Home Care Services through their local Aging Services Access Point (ASAP) or by contacting MassHealth. Providers can apply through the MassHealth Provider Online Service Center. 

6. Required Documentation 

Applicants must provide: 

• Proof of age or disability status 

• Massachusetts residency documentation 

• Financial information for income-based services 

• Medical documentation of need for services 

7. Timeline for Approval 

The approval process can take up to 3-4 months to process an application, determine eligibility, and arrange for services. 

8. Pre-Application Process 

There is no formal pre-application process, but individuals are encouraged to assess their needs and gather necessary documentation before applying. 

9. Pre-Application Training 

No specific pre-application training is mentioned. However, providers must meet qualification requirements set by regulations. 

10. Additional Notes 

• Services are available based on assessed need, and costs are determined based on income. 

• The program offers a wide range of services to support independent living and reduce reliance on institutional care. 

• As of March 6, 2025, Massachusetts continues to expand and improve its Home Care Services to meet the growing needs of its aging population.