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Massachusetts Frail Elder Waiver home and community supports

Massachusetts' Frail Elder Waiver is a MassHealth home- and community-based services waiver for eligible adults age 60 and older who need nursing-facility-level care.

Massachusetts · Effective · Implementation Mar 1, 2026

What it is

What changed
Massachusetts continues to operate the Frail Elder Waiver as an HCBS pathway for older adults who meet clinical and financial eligibility rules and want supports outside an institution.
Why it matters
For caregivers, the practical issue is not just whether a waiver exists; it is whether the family can understand eligibility, service planning, and how home supports compare with facility care.
Who it touches
Family caregivers, Care providers and plans, People receiving careolder adults, family caregivers, MassHealth members, frail elders, aging-service providers

Sources

Last reviewed Jun 18, 2026. This is information, not legal advice; check the source for the current text.