Clinical Assessment &Eligibility

Clinical Assessment and Eligibility

Our Registered Nurses conduct in-home assessments for Home Care consumers who are in need of assistance with personal care including: bathing, dressing, transfers, mobility and eating. The RNs, in collaboration with the Case Managers, determine the level of service required.

For consumers who have applied for, or are beneficiaries of MassHealth, the RN staff determine medical appropriateness for MassHealth payment of services such as nursing facility, adult day health and/or home and community based waiver programs.

Based on a person-centered approach, the RN staff strive to have elders/disabled adults remain in a community setting when appropriate. The RN staff work with consumers/families to divert nursing facility admissions and/or assist with discharge planning for those in a nursing facility by providing education and recommendations.