Medicaid (MassHealth in Massachusetts) will not pay for traditional assisted living. It does pay for nursing home care after one has "spent down" their assets to the point of impoverishment. However, it does support some programs because they are are far cheaper than nursing home level care to Medicaid. These include Congregate Living, Group Adult Foster Care, and State paid in-home care.

Gross income includes: pension and annuities; Social Security; capital gains, dividends and interest; rental income; salary; disability insurance payments; unemployment worker's compensation; public assistance; alimony.

Home Care services are comprehensive and include:

  • personal care tasks; home health services, including skilled nursing care, homehealth aide, and therapies; medication assistance; Adult Day Health services to provide health care, supervision, and socialization; Dementia Day Care to provide a structured supervised setting for seniors with cognitive disabilities; Social Day Care services to provide socialization, recreation, and supervision out of the home; homemaker services, including housekeeping and meal planning and preparation; food shopping and delivery services; aundry; home delivered meals, for homebound seniors unable to attend congregate meal sites; nutritional counseling; transportation; chore services to maintain your home or yard; companion services, to accompany you on errands or appointments, or at home; adaptive housing to equip or modify your home to meet your needs; personal emergency response system, for medical emergencies; emergency shelter if needed; translation services; other services, as needed.

Respite Care services includes any of the above services on a temporary basis. It also includes temporary placements in adult family care, nursing facilities

Frail Seniors and the Enhanced Community Options Program (ECOP)

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