STATE PROFILE • Last updated: April 23, 2026
Massachusetts Elder Care & Medicaid
Massachusetts' MassHealth offers long-term care support for seniors through institutional Medicaid, HCBS waivers, and a Medically Needy pathway, with eligibility rules and benefits varying by program.
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RANKED #39
GRADE D
FEATURED
Medicaid Coverage Guide for Massachusetts
Full breakdown of MassHealth Senior Care Options for seniors: waiver programs, nursing home eligibility, income and asset limits, spend-down rules, and how to apply.
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Program
MassHealth Senior Care Options
Income cap
$522/mo
Medically-needy
Yes
Elder Care Index Report Card
5-pillar composite scoring vs other states
D
Grade
AFFORDABILITY
MODERATE
QUALITY
MODERATE
STAFFING
CRITICAL
ACCESS
MODERATE
MEDICAID SUPPORT
STRONG
Composite score: 48.2 / 100
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Massachusetts At a Glance
Nursing Home Facilities
341
Senior Medicaid Waivers
3
National Rank
#39 / 51
Senior Care Costs in Massachusetts
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Assisted Living
$6,500/mo
+41.6% vs national avg
local_hospital
Nursing Home
$14,881/mo
+34.8% vs national avg
- 341 nursing homes · 40,961 beds
- Avg CMS rating 2.99★ (74 rated 5★, 73 rated 1★)
- 3.86 nurse hrs/resident/day (0.65 RN)
Source: CMS Nursing Home Compare
psychology
Memory Care
$8,125/mo
+41.6% vs national avg
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Home Health Aide
$33/hr
+22.2% vs national avg
- Median aide wage $19.00/hr
- ~108,090 aides employed statewide
Source: BLS OEWS