---
title: "Massachusetts Home Care Medicaid | Funding LTC Marketplace"
url: https://fundingltcmarketplace.com/states/massachusetts/home-care-medicaid/
description: "The Frail Elder Waiver supports eligible adults age 60 and older who meet nursing-facility level of care and can safely remain in the community."
last_updated: 2026-10-20
author: George A. Mellendorf, CLTC, LTCP (Central States Insurance Services, Inc.)
publisher: Funding LTC Marketplace
note: Educational content; not legal, tax or financial advice. Markdown copy of the HTML page at the URL above.
---
Massachusetts · Home & Community Care

# Massachusetts Home Care Medicaid

Last updated 2026-10-20

Massachusetts runs ten separate Home and Community-Based Services waivers, with MassHealth sharing the work alongside the Executive Office of Aging and Independence, the Department of Developmental Services, and MassAbility — each waiver built around its own defined target population.

The state frames these HCBS waivers as alternative, state-specific programs that let eligible people get long-term services and supports while staying in their own homes and communities. But capacity is baked into the design: each waiver has a maximum number of people it can serve in a given year, and the state has to demonstrate cost neutrality to keep that approval — so even though someone can typically apply at any time, a program-wide cap on enrollment is still a real feature to plan around.

The Frail Elder Waiver is the one most families run into first. It's built for adults age 60 and older who meet a nursing-facility level of care but can still remain safely in the community with the right supports in place.

## Sources and official resources

- [Mass.gov: Paying for a Stay in a Nursing or Rest Home](https://www.mass.gov/info-details/paying-for-a-stay-in-a-nursing-or-rest-home)
- [CMS: 2026 SSI and Spousal Impoverishment Standards](https://www.medicaid.gov/federal-policy-guidance/downloads/cib04272026.pdf)

Rules and figures change. Confirm current details with the agency before you act.

[← Back to the full Massachusetts guide](https://fundingltcmarketplace.com/states/massachusetts/)