These videos give an overview of the various Home and Community-Based Services (HCBS) available in Massachusetts for providers who want to learn how to start or operate an HCBS agency in the state. Each video explains the purpose of the service, provider requirements, licensing process, and how the program functions. Use these videos to better understand the responsibilities, standards, and steps involved in becoming or working with approved HCBS providers in Massachusetts. Explore each section to find the service that best matches your goals or area of interest.
Respite Care
Respite Care Services in Massachusetts provide short-term relief to primary caregivers of individuals with physical, cognitive, or behavioral health challenges. Services are offered in the individual's home, a community setting, or an alternative licensed site. These supports are authorized and reimbursed through MassHealth waiver programs, including the DDS Waivers and the ABI/MFP Waivers.
Residential Care
Residential Care Services in Massachusetts offer structured, long-term housing and support for individuals who cannot live independently due to medical, behavioral, or functional needs. These services are funded through MassHealth Home and Community-Based Services (HCBS) waivers, and administered primarily by the Department of Developmental Services (DDS), Massachusetts Rehabilitation Commission (MRC), and Department of Mental Health (DMH).
Supported Employment
Supported Employment Services in Massachusetts are designed to help individuals with intellectual, developmental, or physical disabilities enter, retain, and thrive in competitive, integrated employment settings. These services are available through MassHealth Home and Community-Based Services (HCBS) waivers, the Department of Developmental Services (DDS), and the Massachusetts Rehabilitation Commission (MRC).
Personal Care
In Massachusetts, PCA Services are offered through a unique consumer-directed model managed by MassHealth (the state Medicaid program). Unlike other states where agencies employ aides directly, MassHealth PCA consumers act as the employer of their PCAs. However, provider agencies (called PCM agencies) play a key role in assessing eligibility and supporting access to PCA services.
Adaptive Equipment
Adaptive Equipment Services in Massachusetts are designed to provide individuals with disabilities the tools they need to live as independently and safely as possible. These services cover the assessment, acquisition, customization, delivery, and maintenance of specialized equipment that enhances functional ability. They are reimbursable under MassHealth (Medicaid), Home and Community-Based Services (HCBS) waivers, and occasionally through the Massachusetts Rehabilitation Commission (MRC) or Department of Developmental Services (DDS).
Skilled Nursing
Skilled Nursing Services in Massachusetts are provided by licensed nurses to individuals who require ongoing medical care due to chronic illnesses, disabilities, or post-hospitalization recovery. These services are a key component of MassHealth’s Medicaid benefits, and are also authorized under Home and Community-Based Services (HCBS) waivers, the Home Health Program, and the Money Follows the Person (MFP) initiative.
Independent Living Skills
Independent Living Skills (ILS) Services in Massachusetts are designed to help individuals with disabilities or chronic conditions gain, improve, or retain the skills needed to live as independently as possible. These services are delivered in homes and communities through Medicaid HCBS waivers, MassHealth programs, or through partnerships with agencies like the Massachusetts Rehabilitation Commission (MRC) and the Department of Developmental Services (DDS).
Adult Day Health Services
Adult Day Health (ADH) services in Massachusetts provide nursing oversight, personal care, case management, therapeutic activities, and meals in a structured community setting. These services are regulated by the Massachusetts Department of Public Health (DPH) and reimbursed by MassHealth (Medicaid) for eligible adults through a medical model of day care.
Behavioral Health
Behavioral Health Services in Massachusetts are essential to promoting mental wellness, recovery, and independence for individuals with mental illness, emotional disturbances, or substance use disorders. These services may be delivered through Medicaid’s MassHealth Behavioral Health Initiative, managed care plans, or Home and Community-Based Services (HCBS) programs under specific waivers.
Home & Vehicle Modification
Home and Vehicle Modification Services in Massachusetts are essential supports that enable individuals with disabilities to live more independently and safely in their homes or access their communities through adapted vehicles. These services are covered under MassHealth Home and Community-Based Services (HCBS) waivers and the Money Follows the Person (MFP) program. Providers play a vital role in customizing physical spaces and vehicles to align with each individual’s functional needs.
Assistive Technology
Assistive Technology (AT) Services in Massachusetts provide critical tools and supports to help individuals with disabilities live more independently, communicate effectively, and perform everyday tasks. These services are available under Medicaid Home and Community-Based Services (HCBS) waivers, MassHealth programs, and through state-funded initiatives aimed at expanding access to adaptive technologies.
Home Care Technology
Home Care Technology Services in Massachusetts enable individuals receiving care at home to maintain safety, independence, and better health outcomes through the use of digital tools, remote monitoring, and assistive systems. These services are increasingly supported by MassHealth Home and Community-Based Services (HCBS) waivers, the Money Follows the Person (MFP) program, and other Medicaid-funded long-term care initiatives.
Transition Assistance Services
Transition Assistance Services (TAS) in Massachusetts help individuals with disabilities or chronic conditions move out of institutional settings—such as nursing facilities or hospitals—and successfully reintegrate into the community. These services are covered under the Money Follows the Person (MFP) initiative and certain 1915(c) HCBS waiver programs, offering time-limited, person-centered support during the move and initial adjustment period.
Transportation Assistance
Transportation Assistance Services (TAS) in Massachusetts ensure that Medicaid beneficiaries and individuals with disabilities have access to safe, timely, and appropriate rides for medical appointments, adult day programs, work, and other waiver-authorized activities. These services are typically offered under MassHealth’s Non-Emergency Medical Transportation (NEMT) program and through HCBS waiver programs such as ABI, MFP, and DDS Waivers.
Home Health Services
Home Health Services in Massachusetts offer medical, therapeutic, and personal care to individuals with disabilities, chronic illnesses, or recovering from hospital stays. These services are regulated by the Massachusetts Department of Public Health (DPH) and reimbursed by MassHealth and Medicare, depending on eligibility and service type.