The Home and Community-Based Services Waiver (HCBS) is a program for low-income Massachusetts residents who qualify for nursing facility or other institutional care but want to live at home. The Waiver allows the Commonwealth of Massachusetts to use Medicaid funds (which otherwise would have been used for an individual’s nursing home care) for that individual’s care at home. To read more about the federal Medicaid program that governs the HCBS Waiver, click here.
Boston Senior Home Care, as part of the Aging Service Access Point network, offers clinical eligibility assessments and services for what is known as the “Frail Elder” HCBS Waiver. This form of the Waiver is accessible to clinically and financially eligible individuals who are aged 60 and over.
If you are clinically and financially eligible for the HCBS Waiver, you will get MassHealth Standard medical coverage and access to increased home and community-based services. (For a full list of relevant services, please see below.) Key benefits of the HCBS Waiver include:
» Access to a higher overall level of
services, if justified by clinical need. BSHC
staff determines clinical need.
» Protection of service levels. HCBS services cannot be reduced due to state funding limitations. HCBS Waiver services can only be reduced if the services are no longer clinically justified.
» Higher income eligibility for MassHealth coverage. If you are clinically eligible for the Waiver, the financial eligibility ceiling for MassHealth coverage is slightly higher. MassHealth will also disregard your spouse’s assets and income for financial eligibility purposes when considering a HCBS Waiver application. See the income and asset limits for the HCBS Waiver here.
You may be eligible for the Frail Elder HCBS Waiver if you:
» Are age 60 or older;
» Are certified by the state as medically eligible for nursing home care;
» Are able to live safely at home with one or more support services; and
» You meet the HCBS Waiver income and asset limits.
For more information about who is eligible for the Waiver, please see the Mass Resources website.
Please note that if you are not eligible for MassHealth, you may still be able to receive similar services under our Enhanced Community Options Program. Contact Boston ElderINFO to learn more.
The Aging Service Access Point in your area will assess your needs to decide what kind of services you require. If you are a current client or caregiver of a current client, please contact your case manager to request a Waiver screening.
If you are not currently receiving services through an Aging Service Access Point, contact Boston ElderINFO at 617-292-6211 to find out what services you may qualify for and to request a screening.
Covered waiver services may include the following. Note that services will only be authorized if BSHC staff determines that there is a clinical need for the services in question.
» Companion services
» Environmental accessibility adaptations
» Grocery shopping
» Home delivered meals
» Home health aide
» Housekeeping and chore services
» Personal care services
» Respite care
» Skilled nursing
» Supportive day program
» Transitional assistance