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Home Care–Quick Links:  


   Can I get paid for caring for a family member?

As the number of family members providing care for aging parents increases, the solutions to find help with loss of income because of time off from employment for caregiving has become a major concern for many.

The demands on both the time and energy needed to provide the needed care can make it impossible to maintain both a full time job with full time caregiving.

Seeing a need to give support to family caregivers the federal government Administration on Aging created the National Family Caregiver Support Program.



   Home Health Care: What You Need to Know!


For you, the consumer – A summary of important information you need to know about home health care: Remember to ask questions!

Home Health Care is a Medicare/Medicaid benefit (for 65 yrs. or older or the disabled).  Your eligibility comes from (but not limited to), a discharge from a hospital or rehab center.

• The amount of care you will receive is determined by your diagnosis and evaluation/assessment conducted by the Home Health Care Agency.

• The benefit can run a maximum of 60 days (your certification period). But the Home Health Agency (HHA) can release you from care (discharge you) at their discretion.

• If you keep services for the entire 60 days, another evaluation will be conducted to determine (re-certification) for extended 60 days.

• There is no minimum service time guarantee and it all depends on the assessment/evaluation from the Home Health Care Agency and your primary care physician (PCP).


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   Why do Private Pay Home Care Agencies Charge So Much?


How are their costs determined?

Why am I paying $25 an hour (or more) for my home health aide when I could pay them $12 an hour.

This is a very common, justified question. After reading the information provided below, you may find that the cost of a reputable private pay agency is well worth the extra money.

The average charge for a Home Health Aide in Massachusetts from a professional homecare agency is approximately $20 to $27 an hour.

How is that charge determined?


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   Choosing a Private Pay Home Care Agency

Massachusetts does NOT regulate private pay home care agencies – what this means, is that anyone can open and operate a private duty home care agency without oversight from the State or other home care regulatory authority. Therefore, it is up to the consumer to be knowledgeable about what to look for when choosing a private duty home care agency.

Home Care Options: Questions to Ask


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   What to Ask Your Health Care Provider

CONSUMERS!  You need to ask more questions and get more involved in your health care!

Questions to Ask Your Health Care Provider:

  1. What is the test for?
  2. How many times have you done this?
  3. When will I get the results?
  4. Why do I need this surgery?
  5. Are there any alternatives to surgery?
  6. What are the possible complications?
  7. Which hospital is best for my needs?
  8. How do you spell the name of that drug?
  9. Are there any side effects?
  10. Will this medicine interact with medicines that I’m already taking?


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   How To Change or Choose the Right Home Care Services


Not happy with the home care services you are receiving?

Choosing and receiving home care services can be stressful for some. It is a process that can be invasive because you are opening your home and personal life to strangers. After the initial process of setting up home care services, you should feel content, and relief that you are receiving help in the areas that you need them the most. You should feel comfortable with your home health aide, and the other health care professionals that come visit you.

But what if you don’t? For whatever reason, you have the right to change.

The worst thing that you can do is NOT express your concerns to the health care organization. A fear of rejection or getting someone in trouble, often keeps clients from sharing their true feelings.

Who do you talk to?


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   Important Information to Know About Private Home Care Agencies


Do you need to hire private pay home health care? Important information for you to know before doing so……

Massachusetts does not regulate private pay home care agencies; therefore, anyone can open a private pay agency, and hire anyone they want to be “caregivers”. It is important that you ask the following questions when choosing a private pay home care agency:

Who owns/manages the agency? It is important that you know who the principle owner and/or manager is of a private pay agency. Do they have a background in healthcare? And if so, what is it, and how long have they been in the healthcare field? Ask what their experience is and make sure you feel comfortable with their experience before doing business with them. You wouldn’t buy legal advice from someone who is not a lawyer or legal representative? Would you?

How long have they been in business? You want to deal with someone who has been in business or at least in the field of home health care, healthcare or nursing for a substantial amount of time. If they have only been in business for less than 5 years, but has 20 years of healthcare background, or other customer service background – you may feel that is OK.



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Adult Foster Care - Get Paid for Caring!


Family Members Paid as Caregivers

Caring for a family member is one of the most rewarding and difficult jobs with financial impact as well as emotional stress.  An alternative to placing relatives in nursing home care in Massachusetts is a program called Enhanced Adult Foster/Family Care.

This program is funded through state and federal funds and pays a family caregiver a daily stipend to take care of an aging relative or disabled individual at home, or pays non-family caregivers to provide this care.

Eligibility Guidelines:


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