> Home Care

We have a range of in-home services for elders to maintain their independence and continue to live at home. Our Care Managers will assist the elder with developing a plan of care that best fits their needs.

About Services

Services are provided by community agencies selected for quality and cost. Elders must meet specific guidelines for need and financial eligibility to receive services under the Massachusetts Home Care Program. Assistance may be offered wherever an elder lives in a community setting: in their own home, with family members, or in elder housing.

Home Care services may include:

  • Homemaker – assistance with daily tasks such as shopping, laundry, meal preparation, and light housekeeping.
  • Personal Care Homemaker – assistance with personal care needs including bathing, grooming, dressing and toileting. Registered Nurses develop the care plan and monitor the Personal Care Homemaker’s performance.
  • Chore Services – heavier housework and laundry.
  • Home Delivered Meals – a nutritious hot meal delivered at lunch time Monday-Friday with the option for up to 2 frozen meals for the weekend.
  • Companionship – visitation and socialization for elders who are isolated and homebound and receiving other Home Care services.

Care Management

Care Managers help elders, families, and caregivers access services and programs to manage care needs at home. They work as a team with Registered Nurses to conduct assessments, develop care plans, and implement services. The care management teams schedule visits and follow-up phone calls with the person to ensure the care plan is working and addresses other issues that may arise.

Elder Services covers 23 cities and towns in the northeast Massachusetts region. Click here to see our service area.

Community Choice Program

The Community Choice program offers MassHealth standard enrollees who are nursing home eligible the choice of receiving their care at home, which can delay or prevent imminent placement in a long-term care facility. The Community Choice Program provides assistance with daily living and personal care needs. MassHealth recipients must be 60 years of age or older.

A Care Manager/Nurse team from Elder Services will conduct a needs assessment to determine eligibility. This team will work with the elder and his/her family members to determine a plan of care and offer ongoing case management support.

Services may include:

  • Homemaker
  • Personal care
  • Adult Day Health and Dementia Day Programs
  • Home Delivered Meals
  • Home Health Services
  • Personal Emergency Response System
  • Laundry Services
  • Medical Transportation

Consumer Directed Care

Designed for elders who want to recruit, hire, and schedule their own care providers. Elder Services helps “coach” an elder with directing their own care and a fiscal intermediary manages the financial transactions between the elder and their care provider. To be eligible to participate in the Consumer Directed Program, elders must meet state eligibility guidelines.

Enhanced Community Options Program

The Enhanced Community Options Program is designed to address the needs of nursing home eligible elders who do not qualify for Mass Health standard and who require additional supports and services to remain safely and independently at home. A Care Manager/Nurse team from Elder Services will conduct a needs assessment to determine eligibility. This team will work with the elder and his/her family members to determine a plan of care and offer ongoing case management support.

The eligibility requirements are:

  • Meet the eligibility guidelines for the state Home Care Program;
  • Meet clinical eligibility requirements for nursing facility placement, and;
  • Require home care services greater than two times those available through the general state Home Care Program.

Mental Health Care Management

Our mental health care management team is highly skilled and specially trained to manage the many challenges that elders face when living with mental illness. Sensitive to an elder’s right to dignity, respect and good care, our Care Managers build relationships for the long-term, fostering an environment of trust and safety. We know and understand that elders managing difficulties like anxiety, depression, and other symptoms of mental illness may face additional barriers to maintaining independence in the community. Mental health Care Managers work with elders in need of home care services who also have mental health concerns to develop individualized plans of care to help them maintain their independence and continue to live at home.

Personal Care Attendant (PCA) Program

Individuals who receive Medicare and MassHealth Standard or Commonhealth benefits can exercise choice within the Personal Care Attendant Program to hire their own personal care workers. These workers can be non-relatives or relatives other than spouses, parents, legal guardians or PCA Program Surrogates. A PCA Program Surrogate is a person appointed by a PCA consumer to assist them in managing the PCA Program when they are unable to manage it independently. To qualify for the PCA Program the individual must have a chronic (long term) disabling diagnosis that causes the individual to require physical assistance with two or more activities of daily living. The individual’s primary care physician must authorize the individual to receive PCA services.