Conventional Services
Chore – services are services needed to maintain the home in a clean, sanitary, and safe environment. This service includes minor home repairs, maintenance, and heavy household chores.
Companion – Companion services consist of non-medical care and supervision, and socialization is provided to a functionally impaired adult. Companions may assist or supervise the consumer with such tasks as meal preparation, laundry, and shopping. Companion services are available to be provided to a consumer via telehealth (including telephone and live video) to provide additional socialization and reduce isolation. This service is provided in accordance with a therapeutic goal in the service plan.
Complex Care Training and Oversight (formerly Skilled Nursing) – is a periodic, episodic service that includes Medication Management (e.g., filling medication cassettes, etc.) as well as development, ongoing management, and evaluation of the consumer’s Home Health Aide Plan of Care.
Home Delivered Meals – provide well-balanced meals to consumers to maintain optimal nutrition and health status.
Home Delivery of Medications – services provide delivery of medications by a pharmacy to a consumer’s residence.
Home Health Aide – assistance with ADLs and personal care, including incontinence care; assistance with ambulation and transfers, including the use of a Hoyer lift; medication cueing and reminders; activities that support the skilled therapies; and routine care of prosthetic and orthotic devices.
Homemaker – service includes assistance with: shopping, menu planning, laundry, and the performance of general household tasks (e.g., meal preparation and routine household care).
Laundry Services – includes pick-up, washing, drying, folding, wrapping, and returning of laundry.
Personal Care – service may take the form of hands-on assistance (performing a task for the consumer) or cuing and supervision to prompt the consumer to perform a task.
Supportive Home Care Aide – perform personal care and/or homemaking services in addition to providing emotional support, socialization, and escort services to consumers with Alzheimer’s Disease/Dementia or emotional and/or behavioral problems.
Transportation – services to enable consumers to gain access to community services, activities and resources, as specified by the service plan.
Site Based Services
Adult Day Health – provides an organized program of health care and supervision, restorative services, and socialization for elders who require skilled nursing or therapy, or assistance with activities of daily living. Nutrition and personal care services are also provided to participants. Adult Day Health programs must be approved for operation by MassHealth and operate in accordance with 130 CMR 404.000.
Alzheimer’s Day Program – provides specialized services to address the needs of people with Alzheimer’s disease and related disorders (ADRD) and other dementias. The goal of the program is to enhance cognitive functioning and improve the overall quality of life for individuals and their families.
Emergency Shelter – services provide temporary overnight shelter for an elder (and his/her household) who is without a home due to eviction, fire, flood, other natural disaster, abuse, neglect, alcohol dependency, economic incapacity, or unsafe/substandard housing conditions, including lack of fuel and/or utilities.
Respite – services are provided to consumers unable to care for themselves that are furnished on a short-term basis because of the absence or need for relief of those people who normally provide care for the consumer.
Supportive Day Program – provide support services in a group setting to help participants recover and rehabilitate from an acute illness or injury, or to manage a chronic illness, or for participants who have an assessed need for increased social integration and/or structured day activities.
Therapeutic and Support Services
Alzheimer’s Coaching – assists consumers and caregivers in acquiring, retaining, and improving the self-help, socialization, and adaptive skills necessary to reside successfully in home and community-based settings. Alzheimer’s/Dementia Coaching creates and maintains a positive experience for a person experiencing the effects of a dementia related illness.
Behavioral Health Services – provide mental health services to consumers. Services must be provided through a MassHealth Contracted behavioral health provider.
Evidence-Based Education Programs (EBPs) – educate consumers and promote active engagement to undertake self-management of chronic conditions by teaching behavior management and personal goal setting.
Goal Engagement Program – consists of a set of highly individualized, person-centered services that use the strengths of the Consumer to improve her/his safety and independence.
Habilitation Therapy – is a service to provide education and support to the caregiver and to provide suggestions to modify elements of the environment that may exacerbate the disabilities of the disease.
Orientation and Mobility (O&M) – services teach an individual with vision impairment or legal blindness how to move or travel safely and independently in his/her home and community.
Peer Support – is designed to provide targeted recovery services to Consumers with behavioral health diagnoses. Peer Support services are provided by a Certified Older Adult Peer Specialist. Peer support can also be offered remotely through the Support Older Adults Remotely service.
Vision Rehab – is a service intended (1) to evaluate the status and needs of persons who are visually impaired, and (2) to instruct the visually impaired in the use of compensatory skills and aids that will support safe, productive, and independent living.
Physical Therapy (PT)* – includes diagnostic evaluation and therapeutic intervention, designed to improve, develop, correct, rehabilitate, or prevent the worsening of physical functions that have been lost, impaired, or reduced as a result of acute or chronic medical conditions, congenital anomalies, or injuries.
Speech Therapy (ST)* – is provided by a qualified speech therapist (ST), a speech therapy assistant, or a speech therapy student supervised by a qualified ST including evaluating patient care needs; providing rehabilitating services for speech and language disorders; observing and reporting to the physician; instructing the patient, family and health care team personnel, and supervising other personnel.
Home Safety/Independence Evaluations (Occupational Therapy)* – includes diagnostic evaluation and therapeutic intervention, designed to improve, develop, correct, rehabilitate, or prevent the worsening of functions that affect the activities of daily living that have been lost, impaired, or reduced as a result of acute or chronic medical conditions, congenital anomalies, or injuries.
*PT, OT, ST are to be provided by a CMS certified agency
Technology Based Service
Medication Dispensing System – is a device which is pre-filled by a family member, friend, or nurse with consumers medication to provide reminders and monitoring of medication use.
Personal Emergency Response System (PERS) – provides personal emergency button with or without fall detection that notifies emergency services and emergency contacts when signal is sent to the provider.
Virtual Communication and Monitoring (VCAM) – is a service that provides a personal emergency and non-emergency response service.
VCAM functionality includes:
- A response device that enables a 2-way audio and video connection and provides 24/7 access to a response center;
- The capacity for Consumer-initiated requests for emergency and non-emergency response from a response center; and
- The capacity for scheduled assistance by response center staff as established through the person-centered planning process.
Ancillary Services
Environmental Accessibility Adaptions – include those physical adaptations to the private residence of the elder or the elder’s family required by the elder’s service plan that are necessary to ensure the health, welfare and safety of the elder or that enable the elder to function with greater independence in the home.
