Medicaid HCBS Waiver in Boston, Massachusetts
What is Medicaid HCBS Waiver?
Home and Community-Based Services (HCBS) waivers allow Medicaid to pay for home care, personal assistance, and support services instead of nursing home care. These waivers enable elderly and disabled individuals to remain in their homes and communities while receiving the care they need. Each state administers its own HCBS waiver programs with different names and eligibility requirements, but all share the common goal of supporting aging in place.
In Massachusetts, this program is known as Massachusetts Medicaid HCBS Waiver. Contact your state agency for details about Medicaid HCBS Waiver in Massachusetts.
Eligibility Requirements in Massachusetts
| Requirement | Massachusetts Standard (2026) |
|---|---|
| Age | 65 or older (or disabled) |
| Income (single person) | $3,715/month |
| Income (married couple) | $7,430/month |
| Asset limit | Typically $2,000 individual; home often exempt |
| Residency | Must be a Massachusetts resident |
| Level of care | Must need assistance with activities of daily living |
How to Apply in Boston, Massachusetts
- Contact Massachusetts Executive Office of Elder Affairs at (617) 727-7750 to begin the application process
- Request a functional eligibility assessment
- Gather financial documentation (tax returns, bank statements, Social Security award letter)
- Complete the Medicaid application through your state's portal or in person
- If approved, work with a care coordinator to develop your care plan
Your local Area Agency on Aging - the Ethos (formerly Greater Boston ASAP) at (617) 522-6700 - can also help you navigate the application process at no charge.
Get Your Application Checklist →Frequently Asked Questions About Medicaid HCBS Waiver in Boston
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What is the income limit for Massachusetts Medicaid HCBS Waiver in Massachusetts?In Massachusetts, the income limit for Massachusetts Medicaid HCBS Waiver is typically $3,715/month for a single person and $7,430/month for a married couple. Some income may be disregarded in calculations.
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How long is the waitlist for Massachusetts Medicaid HCBS Waiver in Massachusetts?Waitlist times vary significantly. Contact Massachusetts Executive Office of Elder Affairs at (617) 727-7750 for current waitlist status. Some states have open enrollment while others have waitlists of several months to years.
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What services does Massachusetts Medicaid HCBS Waiver cover in Massachusetts?Covered services typically include personal care assistance, homemaker services, adult day health services, respite care, home health aide services, and skilled nursing visits. Specific services vary by program.
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Can I keep my Medicare coverage while on Massachusetts Medicaid HCBS Waiver?Yes. Medicaid HCBS waivers supplement but do not replace Medicare coverage. You may qualify for both programs simultaneously if you meet eligibility requirements for each.
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How are Medicaid assets calculated in Massachusetts?In Massachusetts, asset limits for Medicaid are typically $2,000 for an individual. Your primary home, one vehicle, personal belongings, and certain other assets may be exempt from this calculation.
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Medicaid Waiver in Other Massachusetts Cities
Need Help With the Application?
Download our free application checklist for Massachusetts Medicaid HCBS Waiver, or let our Grant Concierge handle the paperwork for you.