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Massachusetts Medicaid waivers that pay for home care

Last verified April 30, 2026 · All Massachusetts resources

Massachusetts Medicaid pays for in-home personal care and related services through 2 programs, including the Frail Elder Waiver (FEW) and the MassHealth Personal Care Attendant (PCA) Program. Frail Elder Waiver services are coordinated through the network of 24 Aging Services Access Points (ASAP). Providers contracting with ASAPs for Homemaker/Personal Care must complete the Notice of Intent (NOI) procurement process. The PCA program is consumer-directed — consumer-employers approve PCA timesheets through the EVV portal.

Which Massachusetts waivers can a home care agency bill?

Each waiver below lists who it covers, the services it pays for, and how providers bill.

Frail Elder Waiver (FEW)

Population
Frail elders aged 60 and older who meet the level of care for a nursing facility but prefer to remain in the community
Services covered
  • personal care
  • homemaker
  • adult day health
  • respite
  • home-delivered meals
  • transportation
  • case management
Billing format
Fee-for-service through Aging Services Access Points (ASAPs); EVV via Sandata or Alt-EVV
Prior authorization
Required
Open waiver page (opens in a new tab)

MassHealth Personal Care Attendant (PCA) Program

Population
MassHealth members of all ages with disabilities who need physical assistance with activities of daily living
Services covered
  • personal care attendant services (ADL/IADL)
  • consumer-directed self-hire model
Billing format
Consumer-directed via Tempus Fiscal Intermediary; EVV via Sandata or Alt-EVV
Prior authorization
Required
Open waiver page (opens in a new tab)

Sources

More for Massachusetts

Medicaid waiver lookup: other states

Related guides

Authorizations

How to Become a Medicaid Provider for Home Care

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.

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