Show:
Managed Care
PCA
Homecare
AgeSpan Programs
Public Benefits
100

What programs fall under Managed Care Department?

SCO - Senior Care Options

ICO - Integrated Care Options

PCA - Personal Care Attendant Program

100

What does PCA stand for?

  • Personal Care Attendant
100

What is a PERs?

  • Personal Emergency Response System
  • MassHealth Standard also pays for PERs outside of AgeSpan service plans if the consumer doesn’t have services.
100

How do you refer someone to Money Management, what qualifies someone to participate, and what can they expect?

On the intranet – 60 or older living in our catchment area – trained volunteer to assist with budgeting & bill pay that makes home visits with the consumer

100

What are the two most common types of MassHealth?

  • MassHealth Standard, MassHealth Common Health
200

What qualifies someone for the One Care program?

  • are between the ages of 21 and 64,
  • have a disability,
  • have Medicare Parts A and B,*
  • qualify for Medicare Part D (drug coverage),**
  • have MassHealth Standard or MassHealth CommonHealth, ***
  • do not have private health insurance (like health insurance from your job),
  • do not take part in a Home and Community Based Services (HCBS) Waivers waiver, and
  • live in an area covered by a One Care plan.
200

Who completes timesheets for PCAs?

  • Participant or surrogate
200

What can a consumer expect to receive for hours under a service plan under Home Care Basic Non-Waiver for in home services?

  • 2-3 hours a week of HM, HDMs and PERs
200

How do you refer someone to Power of Pets Program, what qualifies someone to participate, and what can they expect?

  • Referral forms are on the intranet - Sandy Jennings oversees the program.
  • People currently receiving AgeSpan services, such as: Meals on Wheels, home care or those living in community housing  
  • People 65 and over, not using our services, who qualify financially (Example: $1,882 monthly income for a single-person household) 
  • People who reside in one of the 28 communities we serve. See list below. HOW MUCH WILL IT COVER? Up to $200 in one-time veterinary care for pets of those in need, once per year.
200

What is Medicare Part A, B, C, D?

  • A = Hospital
  • B = Medical
  • C = Medicare Advantage Plans
  • D = Drug
300

What qualifies someone to participate in SCO?

SCO Eligibility 65 + 

Beginning January 1, 2026, all SCO enrollees must be enrolled in both Medicare Parts A and B, as well as MassHealth Standard (Medicaid), to remain in a SCO plan.

300

What qualifies someone for the PCA program?

  • You may apply for the PCA Program if you are eligible for MassHealth Standard or CommonHealth, and you have approval from your doctor for PCA services; a chronic or permanent disability that prevents you from performing your own personal care; and a need for physical (hands-on) assistance with at least two of seven activities of daily living (ADLs) (mobility, bathing/grooming, dressing/undressing, passive range-of-motion exercises, taking medications, eating, and toileting). Before you can begin to use PCA services, you must contact a PCM agency who will need to obtain an authorization from MassHealth for you.
300

What Home Care program is on a waitlist right now?

ECOP - Enhanced Community Options Program

300

What is the HLCE program at AgeSpan and what are some of the programs they currently offer?

Healthy Living Center of Excellence

  • Healthy IDEAs
  • GUIDE Program
  • Better Age
300

How much can you claim for medical deduction with DTA before needing to submit backup paperwork?

  • Applicants can declare a standard deduction of $35 to $190 monthly before submitting backup documentation.
  • Senior DTA Phone Number = 833-712-8027
400

What are the 5 SCO programs?

  • United Healthcare, Senior Whole Health/Molina Health, CCA, Fallon/Navicare, Tufts, Mass General Brigham
400

How do PCA members find PCA workers?

  • Usually an acquaintance/family member or through TEMPUS
400

What is the Frail Elder Waiver and what service plan does it qualify consumers to participate in?

The Frail Elder Waiver is a MassHealth Program for participants in the community who are clinically eligible for nursing home placement, but choose to remain in the community and receive services in-home. The FEW has a higher income limit.

Those who qualify for the FEW can participate in the Community Choices Homecare plan that offers increased hours in home for additional support.

400

What is the SMP program at AgeSpan and what do they do?

Senior Medicare Patrol Program works with Medicare fraud and prevention for anyone on Medicare.

400

If you are struggling to assist a resident with complex MassHealth issues, who is best to reach out to at AgeSpan for assistance?

Laura Marsan, CAC
500

What are some services SCOs provide?

  • Transportation, HM/PC/HHA, dental, vision, hearing, quarterly OTC benefits with money for shopping at certain retailers for OTC products & pharmacy, ADH
500

What does a PCA Skills Trainer do?

  • Assess participants for service plans, help them understand how to manage their PCA services
500

For a resident who struggles with mental health issues, has a history of housing instability, has been non-compliant with services, what AgeSpan program would you consider referring them to?

The ANCHOR Program - Advocacy & Navigating Care in the Home with Ongoing Risks, consult with Jane Twombly before making a referral.

500

What does SHINE stand for? Who runs the SHINE Program?

Serving the Health Insurance Needs of Everyone on Medicare

  • Lisa Rose
500

What is RAFT and how do you qualify for it?

Rental Assistance for People in Transition, State of Massachusetts Program

  • Overdue rent (3 months or more)
  • Utility disconnection
  • Need to move due to DV, fire/flood, severe overcrowding
  • Notice to Quit