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Paying for care in Massachusetts

Getting paid to care for a family member in Massachusetts

Yes. In Massachusetts, a family member can be paid to give care through Personal Care Attendant (PCA) Program and Adult Foster Care. A spouse cannot be paid through any of these programs.

Respite care for family caregivers in Massachusetts

Yes. In Massachusetts, family caregivers can get respite through one program on record: Family Caregiver Support Program.

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Programs on record

How to apply

Personal Care Attendant (PCA) Program

How to apply

Contact a personal care management (PCM) agency. It must respond to your request by phone or in person within three business days, and complete an in-person check of your eligibility within ten business days of your first inquiry. The PCM agency then sends a prior authorization request for PCA services to MassHealth.

The PCM agency also gives you orientation and training on running the PCA program.

Source: 130 CMR 422.000: Personal Care Attendant Services, MassHealth Provider Manual (Transmittal PCA-27, 07/03/26)Checked

Adult Foster Care

How to apply

If you or a loved one may benefit from Adult Foster Care, or you want to become a caregiver, contact the MassHealth Customer Service Center to learn more.

Source: MassHealth Adult Foster Care program fact sheet (Massachusetts Executive Office of Health and Human Services, published March 20, 2026)Checked

Phone

(800) 841-2900

MassHealth Customer Service Center. TDD/TTY: 711. Self-service 24 hours a day in English and Spanish; other services Monday to Friday, 8 a.m. to 5 p.m.

Source: MassHealth Adult Foster Care program fact sheet (Massachusetts Executive Office of Health and Human Services, published March 20, 2026)Checked

Family Caregiver Support Program

How to apply

Talk with a Caregiver Specialist near you by calling MassOptions toll free.

Source: Family Caregiver Support Program (Massachusetts Executive Office of Aging and Independence)Checked

Phone

(800) 243-4636

MassOptions, toll free.

Source: Family Caregiver Support Program (Massachusetts Executive Office of Aging and Independence)Checked

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