Question 1

What is the difference between Home Health and Home Care in Massachusetts?

Accepted Answer

Home Health is medical care at home. A doctor orders it. Nurses, physical therapists, and occupational therapists visit your home. They do things like wound care, IV meds, post-surgery recovery, and skilled rehab.
Home Care is non-medical help. Caregivers help with bathing, meals, errands, and company. No doctor's order needed.
Home Health is usually paid by Medicare. Home Care is usually paid out of pocket or by long-term care insurance. Both serve people who want to stay home.

Question 2

Does Medicare cover home health in Massachusetts?

Accepted Answer

Yes, often. Medicare Part A or Part B pays for home health when you meet four rules:
1. A doctor says you need it.
2. You need part-time skilled care — nursing, physical therapy, occupational therapy, or speech therapy.
3. You are "homebound." Leaving home is hard for you.
4. The agency is Medicare-certified.
If you qualify, Medicare pays 100% for covered visits. You pay nothing for the visit itself. Medical equipment may have a 20% copay.

Question 3

What is the CMS Quality of Patient Care Star Rating?

Accepted Answer

CMS rates every Medicare-certified home health agency from 1 to 5 stars. The rating is based on real patient outcomes, not opinions.
CMS looks at how well patients improve at walking, bathing, and managing meds. It also tracks how often patients avoid the hospital and how fast care starts.
A 4 or 5-star agency in Cambridge has stronger results. New agencies may not have a rating yet — that does not mean they are bad. CMS just has not measured them.

Question 4

How do I verify a home health agency is Medicare-certified in Massachusetts?

Accepted Answer

Two ways:
1. Use Medicare's Care Compare tool at medicare.gov/care-compare. Search by zip code or city. If the agency shows up, it is certified.
2. Ask the agency for its CMS Certification Number (CCN). You can verify the number with the Massachusetts Department of Health.
If an agency is not Medicare-certified, Medicare will not pay for its care — even if you qualify on every other rule.

Question 5

What medical conditions qualify for home health care?

Accepted Answer

Common reasons doctors order home health:
- Recovery after surgery (knee or hip replacement, heart surgery)
- Wound care or IV antibiotics
- Stroke recovery (physical, occupational, or speech therapy)
- Heart failure, COPD, or other long-term conditions that need monitoring
- Diabetes management with skilled teaching
- Falls or balance issues that need physical therapy
- Cancer recovery
You do not need a hospital stay first. Your regular doctor can order home health if you meet Medicare's rules.

Question 6

How do I find and vet a home health agency in Cambridge?

Accepted Answer

Start with our directory of 61 home health agencies in Cambridge. Sort by CMS star rating to see top performers first.
When you call, ask:
- What is your CMS quality rating?
- Are your nurses RNs or LPNs?
- How fast can you start care after a referral?
- Who is on call nights and weekends?
- Do you accept my insurance?
Get the agency's CCN and verify it on Medicare's Care Compare before signing anything.

Home Health & Skilled Nursing in Cambridge, MA

Amedisys Home Health Care

Centerwell Home Health

Emerson Hospital Home Care Program

Tufts Medicine Care At Home

Metrowest Homecare And Hospice, An Amedisys Company

Mass General Brigham Home Care, Inc

Bayada Home Health Care, Inc

Alliance Home Care Visiting Nurse Agency

Visiting Nurse And Community Care

Acton Public Health Nursing Se

Caring Hearts Homecare Inc

Vna Of Eastern Massachusetts

Bayada Home Health Care, Inc

Interim Healthcare Of Lexington Ma

At Home Senior Care, Inc

Innovive Health

Integrity Home Care Solutions Llc

Art Of Care Inc

Highly Visioned, Llc

Vine Homecare And Staffing

West River Home Health

Altranais Home Care Llc

Mary Ann More Home Health Agency

New England Home Health Servic

Horizon Home Care, Llc

Frequently Asked Questions