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Subsidized Support

Springwell is the single point of entry for the following State and Federal programs that provide subsidized support to seniors and individuals with a disability:


Massachusetts has designated Springwell as an Aging Services Access Point (ASAP). In this role, Springwell provides eligible seniors care advice and home care services through the Commonwealth's State Subsidized Home Care Program. A Springwell Care Advisor conducts a comprehensive in-home assessment in consultation with a nurse, to determine program eligibility. The senior, family members and Springwell Care Advisor develop a care plan, which is reassessed on a regular basis. Co-payments for services are based on a sliding fee scale.

Services which may be available through this program include:

Eligibility for this program is based on functional ability and not a medical diagnosis. Although eligibility may vary, in general to be eligible for a state subsidy a person must:

  • Be 60 years of age or older
  • Be unable to do certain tasks independently
  • Have an annual income of less than $26,561 for an individual or $37,583 for a couple (this changes every year on January 1)
  • Not have any way to get the assistance he or she needs except through the Home Care Program.

The following two levels of services are available under the Home Care Program:

1.   Standard Home Care

A consumer can receive services that on average cost $260 per month through the standard Home Care Program. Consumers can choose to hire their own worker or they can receive services from a worker from a vendor agency that Springwell subcontracts with. A Springwell Care Advisor has regular contact with the elder to ensure services meet needs and visits the elder a minimum of every 6 months.

2.   Enhanced Community Options Program (ECOP)

ECOP provides a higher level of service to seniors who are ineligible for MassHealth Standard and meet the requirements of nursing facility services. As of January 2012, the services the senior needed would have to cost a minimum of $533.00. Consumers can choose to hire their own worker or they can receive services from a worker from a vendor agency that Springwell subcontracts with. Seniors receiving services through ECOP are visited by their Care Advisor a minimum of every three months.


The Community Choices Program, offers the frailest seniors additional support. This program is designed to provide intensive services to seniors who are at imminent risk of nursing facility placement.

To be eligible for the Community Choices Program a person must meet all of the following 4 criteria:

   A. Mass Health Member, age 60 or older

   B. Enrolled in The Home and Community Based Waiver Program
      (also referred to as 1915 (c))

   C. Be clinically eligible for nursing facility services (130CMR 456.409)

   D. Require, as determined by Springwell, services at a projected cost of at least
       two times the monthly MA Home Care program level.


If a senior has a family caregiver that needs relief, the senior may be eligible for services under the Respite Home Care Program. The goal of respite care is to support families giving care so they can continue to help their relative. (Respite care is not intended to provide custodial care while the caregiver is at work.) The cost of respite service is determined on a sliding fee schedule. People of any income can be served. Individuals can choose to hire their own worker or they can receive services from a worker from a vendor agency that Springwell subcontracts with. Families qualify for the respite program if:

  • The caregiver is 18 years of age or older. (The caregiver does not have to be a relative of the elder.); and
  • The person receiving the care is 60 years of age or older, or has a medical diagnosis of Alzheimer's disease; and
  • One caregiver is providing daily care to an elder on an ongoing basis. (Paid caregivers are usually not eligible.); and
  • The caregiver is feeling stressed because of providing care.


The Personal Care Attendant (PCA) Program is a MassHealth program designed to give individuals with long-term disabilities both control over how their own personal care needs are met and the choice to live at home independently.

Personal Care Attendants (PCAs) are hired, trained and supervised by the individual receiving services. As the employer, a consumer sets up a PCA schedule and trains PCAs to meet his or her own personal needs.

Click here for more information about the Personal Care Attendant Program.


The Adult Family Care (AFC) Program (also known as Adult Foster Care Program) is a residential program for people age 16 and older who due to medical, physical, cognitive or psychiatric problems cannot safely live alone. Consumers either live in the homes of skilled caregivers called Care Providers or a Care Provider moves into the consumer’s home.

The Care Provider provides assistance with activities of daily living (ADLs) such as bathing, toileting, mobility, dressing, and other elements of personal care; and instrumental activities of daily living (IADLs) such as house cleaning, laundry, grocery shopping and medication management. Consumers receive a private room, all meals and are assisted with transport to medical appointments. Care Providers are provided initial and ongoing training by Springwell’s AFC staff and they receive a tax-exempt, monthly stipend and receive two weeks’ paid vacation a year. Depending upon the level of need of the participant, a Care Provider can receive up to $18,000 (tax free) to provide care that prevents or delays institutional care.

Family members can apply to become Care Providers unless they are the parents of a minor child who would be the AFC consumer, the spouse of the consumer or a legally responsible relative (such as a guardian) of the consumer.

Click here for more information on the Adult Family Care program.