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To bill Medicaid for home care you need a state license, a Type 2 NPI, state Medicaid enrollment and screening, waiver or managed care contracts, EVV and authorizations.
What are the Medicaid income and asset limits for home care in Massachusetts?
Last verified October 17, 2026 · All Massachusetts resources
In Massachusetts, the income limit is $2,982/month and the asset limit is $2,000 single. MassHealth lists a 2026 figure of $2,982 a month (300% of the SSI federal benefit rate) among the eligibility figures for community residents 65 and older; this is the income test used for home and community-based waivers such as the Frail Elder Waiver. The asset limit is $2,000 for an individual and $3,000 for a married couple. Massachusetts uses the federal maximum home equity limit of $1,130,000. Nursing facility residents keep a personal needs allowance of $72.80 a month and pay the rest of their income toward their care.
| Program | MassHealth long-term services and supports: Frail Elder Waiver and other HCBS waivers, PACE, Senior Care Options, and nursing facility care |
|---|---|
| Income limit (single applicant) | $2,982/month for a single applicant (300% of the federal benefit rate, the figure MassHealth lists for community residents 65+) |
| How income is counted | special income limit (300% SSI) |
| Asset limit (single) | $2,000 single |
| Asset limit (couple, both applying) | $3,000 for a member of a married couple |
| Home equity limit | $1,130,000 |
| Look-back period | 60 months |
What if a married applicant's spouse stays at home?
Federal spousal impoverishment rules protect part of the couple's income and assets for the spouse who stays home. For 2026 the community spouse can keep between $32,532 and $162,660 in assets, depending on the state.
Which programs pay for care at home?
Once someone is financially eligible, home care is usually paid through a waiver or state plan program. See the Massachusetts Medicaid waivers that pay for home care.
How to apply in Massachusetts (MassHealth (Executive Office of Health and Human Services))
What should you confirm with the state?
Confirm with MassHealth which income test applies to the specific waiver or program you are applying for.
Sources
More for Massachusetts
Medicaid eligibility by state: other states
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