Massachusetts currently has three programs waivers that are open to children. One is a TEFRA program, another is an HCBS 1915(c) Medicaid waiver for autism, and a state-based program, MassHealth CommonHealth, is part of an 1115 demonstration waiver. While the TEFRA program and state program waive parental income, the 1915(c) waiver counts parent income under most circumstances. See this page for an overview of health care in Massachusetts and this page for home and community based options.
Ages: 0-8; however, the state appears to allow children up to their 10th birthday to remain in the program.
Levels of Care: Intermediate Care Facility
Income Waiver: No, under most circumstances, but special rules apply to children with multiple complex conditions.
Waiver Type: 1915(c)
Expiration Date: 9/30/2025
Description from medicaid.gov: Provides community integration, expanded habilitation/education, homemaker, respite, assistive technology, behavioral supports and consultation, family training, home modifications and adaptations, individual goods and services, vehicle modification for children with autism, 0 – 8 yrs old.
Target Population: Children and adults with disabilities
Ages: 0-18; also available for adults with disabilities
Levels of Care: NA
Income Waiver: Yes, the program is based on the child’s disability and not income; however, a premium may apply.
Waiver Type: state-based (and part of an 1115 waiver)
Expiration Date: NA
Description: CommonHealth is comprehensive health insurance similar to MassHealth Standard, for eligible disabled adults and disabled children through age 18 who cannot get MassHealth Standard because their incomes are too high.
Massachusetts recently created a Complex Care Assistant provider type that will allow parents/guardians to be paid to care for their children. This care can include personal care as well as some enhanced services, including tube feedings and oxygen delivery.
Parents/guardians who are RNs or LPNs can be paid to care for their own children in Massachusetts.