Which Medicaid managed care plans do home care agencies contract with in Massachusetts?

Massachusetts delivers some long-term services and supports through 11 managed care plans in Senior Care Options (SCO, age 65+) and One Care (dual eligibles 21-64), both voluntary, and pays for the rest fee-for-service. In Massachusetts, home care for members enrolled in a Senior Care Options or One Care plan is arranged and paid by that plan, so agencies contract with the plans in their area. Enrollment is voluntary, and members not in these plans get services such as the PCA program, adult foster care and state home care through MassHealth fee-for-service and the Aging Services Access Points. New SCO and One Care contracts took effect for 2026 after a state procurement.

Which plans are there?

• Commonwealth Care Alliance Senior Care Options
• Fallon Health's NaviCare
• Mass General Brigham SCO
• Senior Whole Health SCO
• Tufts Health Plan Senior Care Options
• UnitedHealthcare (SCO)
• Commonwealth Care Alliance (One Care)
• Mass General Brigham Health Plan (One Care)
• Molina Healthcare (One Care)
• Point32Health (Tufts) (One Care)
• UnitedHealthcare (One Care)

SCO and One Care plans each serve specific counties; MassHealth publishes a county map on its plan pages.

For the programs that pay for home care, see Massachusetts Medicaid waivers.