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Introduction
Do I Need This Handbook?
Asking the Right Questions
 Anticipating Care Needs
 Assessing Care Needs and Finding Services
 Financial Issues
 Caregiver Support
Using This Handbook
Using the Web
Where Should I Start? How Elder Care Services Are Organized in MA
 1. Executive Office of Elder Affairs (Elder Affairs)
 2. Aging Service Access Points (ASAP)
 3. Councils on Aging ("COA")
 4. Area Agencies on Aging ("AAAs")
Other Kinds of Organizations Providing Elder Care Services
![](http://web.mit.edu/workplacecenter/hndbk/images/shunt_40wdth.gif) Introduction
![](http://web.mit.edu/workplacecenter/hndbk/images/shunt_40wdth.gif) Professional Financial Planning
![](http://web.mit.edu/workplacecenter/hndbk/images/shunt_40wdth.gif) Figuring Out the Present Financial Picture
![](http://web.mit.edu/workplacecenter/hndbk/images/shunt_40wdth.gif) Current Income
![](http://web.mit.edu/workplacecenter/hndbk/images/shunt_40wdth.gif) Current Expenses
![](http://web.mit.edu/workplacecenter/hndbk/images/shunt_40wdth.gif) Insurance Coverage
![](http://web.mit.edu/workplacecenter/hndbk/images/shunt_40wdth.gif) Net Worth
![](http://web.mit.edu/workplacecenter/hndbk/images/shunt_40wdth.gif) Financial Planning for Anticipated Elder Care
![](http://web.mit.edu/workplacecenter/hndbk/images/shunt_40wdth.gif) Are You Eligible for Benefits Covering Elder Care Services?
![](http://web.mit.edu/workplacecenter/hndbk/images/shunt_40wdth.gif) When You Are Not Eligible for Subsidized Services
![](http://web.mit.edu/workplacecenter/hndbk/images/shunt_40wdth.gif) Resources for Pension Issues
![](http://web.mit.edu/workplacecenter/hndbk/images/shunt_40wdth.gif) List of Important Documents
![](http://web.mit.edu/workplacecenter/hndbk/images/shunt_40wdth.gif) Introduction
![](http://web.mit.edu/workplacecenter/hndbk/images/shunt_40wdth.gif) Legal Planning for Lifetime Care
![](http://web.mit.edu/workplacecenter/hndbk/images/shunt_40wdth.gif) Durable Power of Attorney
![](http://web.mit.edu/workplacecenter/hndbk/images/shunt_40wdth.gif) Health Care Proxy
![](http://web.mit.edu/workplacecenter/hndbk/images/shunt_40wdth.gif) What Is It?
![](http://web.mit.edu/workplacecenter/hndbk/images/shunt_40wdth.gif) How Can I Get One?
![](http://web.mit.edu/workplacecenter/hndbk/images/shunt_40wdth.gif) Next Steps
![](http://web.mit.edu/workplacecenter/hndbk/images/shunt_40wdth.gif) Do Not Resuscitate DNR/DNI
![](http://web.mit.edu/workplacecenter/hndbk/images/shunt_40wdth.gif) Estate Planning - Wills and Trusts
![](http://web.mit.edu/workplacecenter/hndbk/images/shunt_40wdth.gif) Legal Planning Resources
![](http://web.mit.edu/workplacecenter/hndbk/images/shunt_40wdth.gif) Finding Subsidized Legal Services for Elders and Caregivers
![](http://web.mit.edu/workplacecenter/hndbk/images/shunt_40wdth.gif) Private Attorneys Specializing in Elder Law
![](http://web.mit.edu/workplacecenter/hndbk/images/shunt_40wdth.gif) Nationally Available Legal Resources
![](http://web.mit.edu/workplacecenter/hndbk/images/shunt_40wdth.gif) Introduction
![](http://web.mit.edu/workplacecenter/hndbk/images/shunt_40wdth.gif) Resources in Massachusetts
![](http://web.mit.edu/workplacecenter/hndbk/images/shunt_40wdth.gif) National Resources
![](http://web.mit.edu/workplacecenter/hndbk/images/shunt_40wdth.gif) Resources for Evaluating Quality of Care in MA Nursing Homes
![](http://web.mit.edu/workplacecenter/hndbk/images/shunt_40wdth.gif) Elder Abuse Protective Services
![](http://web.mit.edu/workplacecenter/hndbk/images/shunt_40wdth.gif) Introduction
![](http://web.mit.edu/workplacecenter/hndbk/images/shunt_40wdth.gif) Remaining at Home
![](http://web.mit.edu/workplacecenter/hndbk/images/shunt_40wdth.gif) What Are Home Care Services?
![](http://web.mit.edu/workplacecenter/hndbk/images/shunt_40wdth.gif) Professional Geriatric Care Management
![](http://web.mit.edu/workplacecenter/hndbk/images/shunt_40wdth.gif) Evaluating Home Care Needs
![](http://web.mit.edu/workplacecenter/hndbk/images/shunt_tablecntns.gif) What Are Activities of Daily Living?
![](http://web.mit.edu/workplacecenter/hndbk/images/shunt_tablecntns.gif) Physical Capacity
![](http://web.mit.edu/workplacecenter/hndbk/images/shunt_tablecntns.gif) Health and Nutrition
![](http://web.mit.edu/workplacecenter/hndbk/images/shunt_40wdth.gif) Finding and Paying for Home Care Services
![](http://web.mit.edu/workplacecenter/hndbk/images/shunt_tablecntns.gif) Subsidized Services
![](http://web.mit.edu/workplacecenter/hndbk/images/shunt_tablecntns.gif) Private Home Care Services
![](http://web.mit.edu/workplacecenter/hndbk/images/shunt_40wdth.gif) How to Pay for Home Care
![](http://web.mit.edu/workplacecenter/hndbk/images/shunt_tablecntns.gif) Can Families Get Paid to Provide Home Care?
![](http://web.mit.edu/workplacecenter/hndbk/images/shunt_40wdth.gif) How Do I Evaluate Home Care Services?
![](http://web.mit.edu/workplacecenter/hndbk/images/shunt_tablecntns.gif) Important Questions to Ask Home Care Agencies
![](http://web.mit.edu/workplacecenter/hndbk/images/shunt_40wdth.gif) Checklist for Determining Ability to Carry Out Activities of Daily Living
![](http://web.mit.edu/workplacecenter/hndbk/images/shunt_40wdth.gif) Introduction
![](http://web.mit.edu/workplacecenter/hndbk/images/shunt_40wdth.gif) Where to Start
![](http://web.mit.edu/workplacecenter/hndbk/images/shunt_tablecntns.gif) A Primary Care Doctor Who Understands the Needs of Older Patients
![](http://web.mit.edu/workplacecenter/hndbk/images/shunt_tablecntns.gif) Specialized Geriatric Services
![](http://web.mit.edu/workplacecenter/hndbk/images/shunt_tablecntns.gif) Record Keeping
![](http://web.mit.edu/workplacecenter/hndbk/images/shunt_40wdth.gif) Hospital Stays
![](http://web.mit.edu/workplacecenter/hndbk/images/shunt_40wdth.gif) General Information and Resources for Health Care Insurance
![](http://web.mit.edu/workplacecenter/hndbk/images/shunt_40wdth.gif) Health Care Insurance Coverage: Medicare, Medigap, and MassHealth
![](http://web.mit.edu/workplacecenter/hndbk/images/shunt_tablecntns.gif) Basic Medicare Coverage
![](http://web.mit.edu/workplacecenter/hndbk/images/shunt_tablecntns.gif) Supplements to Medicare: Medigap Insurance and Medicare HMOs
![](http://web.mit.edu/workplacecenter/hndbk/images/shunt_tablecntns.gif) Supplements to Medicare: Options Available through MassHealth
![](http://web.mit.edu/workplacecenter/hndbk/images/shunt_tablecntns.gif) Supplements to Medicare: Military Service Benefits
![](http://web.mit.edu/workplacecenter/hndbk/images/shunt_tablecntns.gif) Perscription Drug Benefits
![](http://web.mit.edu/workplacecenter/hndbk/images/shunt_40wdth.gif) Long Term Care Insurance
![](http://web.mit.edu/workplacecenter/hndbk/images/shunt_40wdth.gif) Introduction
![](http://web.mit.edu/workplacecenter/hndbk/images/shunt_40wdth.gif) Questions About Palliative Care and Hospice
![](http://web.mit.edu/workplacecenter/hndbk/images/shunt_tablecntns.gif) How Do I Know When Palliative Care is Needed?
![](http://web.mit.edu/workplacecenter/hndbk/images/shunt_tablecntns.gif) How Do I Know When to Seek Hospice Care?
![](http://web.mit.edu/workplacecenter/hndbk/images/shunt_tablecntns.gif) Where Are Hospice Services Provided?
![](http://web.mit.edu/workplacecenter/hndbk/images/shunt_tablecntns.gif) Who Provides Hospice and Palliative Care Services
![](http://web.mit.edu/workplacecenter/hndbk/images/shunt_tablecntns.gif) How Do We Pay for Hospice Care?
![](http://web.mit.edu/workplacecenter/hndbk/images/shunt_40wdth.gif) Massachusetts End of Life Care Resources
![](http://web.mit.edu/workplacecenter/hndbk/images/shunt_40wdth.gif) Bereavement Support
![](http://web.mit.edu/workplacecenter/hndbk/images/shunt_40wdth.gif) End of Life Care Organizations and Websites
![](http://web.mit.edu/workplacecenter/hndbk/images/shunt_40wdth.gif) National Organizations with End of Life Care Resources
Introduction
Caregivers Also Need Care
Finding Resources and Learning New Skills
 Respite Services
 Support Groups and Self Care
Flexible Work Arrangements and Leave Options
Finding Resources and Programs for Caregivers in Massachusetts
Massachusetts Family Caregiver Support Program
![](http://web.mit.edu/workplacecenter/hndbk/images/shunt_40wdth.gif) What Do They Provide?
![](http://web.mit.edu/workplacecenter/hndbk/images/shunt_40wdth.gif) Who Is Eligible?
![](http://web.mit.edu/workplacecenter/hndbk/images/shunt_40wdth.gif) How Is the Program Organized?
Caregiver Support Programs through Ethnic and Faith-based Organizations
Caregiver Support Programs through Organizations Linked to Specific Diseases
National Organizations with Caregiver Resources
AMA Caregiver Self-Assessment Questionnaire
![](http://web.mit.edu/workplacecenter/hndbk/images/shunt_40wdth.gif) Introduction
![](http://web.mit.edu/workplacecenter/hndbk/images/shunt_40wdth.gif) Remaining in Your Home
![](http://web.mit.edu/workplacecenter/hndbk/images/shunt_tablecntns.gif) Step One: Home Modification and Repair
![](http://web.mit.edu/workplacecenter/hndbk/images/shunt_tablecntns.gif) Step Two: Assistive Technolgoy
![](http://web.mit.edu/workplacecenter/hndbk/images/shunt_tablecntns.gif) Step Three: Financing Home Modifications and Safety Equipment
![](http://web.mit.edu/workplacecenter/hndbk/images/shunt_tablecntns.gif) Step Four: Energy Assistance
![](http://web.mit.edu/workplacecenter/hndbk/images/shunt_tablecntns.gif) Remaining in Your Home and in Your Community
![](http://web.mit.edu/workplacecenter/hndbk/images/shunt_tablecntns.gif) What Is a NORC?
![](http://web.mit.edu/workplacecenter/hndbk/images/shunt_40wdth.gif) Elder Housing Options
![](http://web.mit.edu/workplacecenter/hndbk/images/shunt_tablecntns.gif) Independent Living
![](http://web.mit.edu/workplacecenter/hndbk/images/shunt_tablecntns.gif) Assisted Living
![](http://web.mit.edu/workplacecenter/hndbk/images/shunt_tablecntns.gif) Specialized Care Facility
![](http://web.mit.edu/workplacecenter/hndbk/images/shunt_tablecntns.gif) Supportive Housing
![](http://web.mit.edu/workplacecenter/hndbk/images/shunt_tablecntns.gif) Congregate Housing
![](http://web.mit.edu/workplacecenter/hndbk/images/shunt_tablecntns.gif) Continuing Care Retirement Communities (CCRC)
![](http://web.mit.edu/workplacecenter/hndbk/images/shunt_tablecntns.gif) Nursing Homes or Long-Term Care Facilities
![](http://web.mit.edu/workplacecenter/hndbk/images/shunt_tablecntns.gif) Veteran's Housing
![](http://web.mit.edu/workplacecenter/hndbk/images/shunt_40wdth.gif) Resources for Senior Housing in Massachusetts
![](http://web.mit.edu/workplacecenter/hndbk/images/shunt_40wdth.gif) National Organizations with Senior Housing Options
![](http://web.mit.edu/workplacecenter/hndbk/images/shunt_40wdth.gif) Introduction
![](http://web.mit.edu/workplacecenter/hndbk/images/shunt_40wdth.gif) Assessing Transportation Needs and Resources
![](http://web.mit.edu/workplacecenter/hndbk/images/shunt_tablecntns.gif) To Drive, or Not to Drive?
![](http://web.mit.edu/workplacecenter/hndbk/images/shunt_40wdth.gif) Finding Transportation Services
![](http://web.mit.edu/workplacecenter/hndbk/images/shunt_tablecntns.gif) Types of Service
![](http://web.mit.edu/workplacecenter/hndbk/images/shunt_40wdth.gif) Transportation Services Provided by Massachusetts Transit Authorities
![](http://web.mit.edu/workplacecenter/hndbk/images/shunt_tablecntns.gif) Fixed Route Services
![](http://web.mit.edu/workplacecenter/hndbk/images/shunt_tablecntns.gif) Paratransit Services
![](http://web.mit.edu/workplacecenter/hndbk/images/shunt_40wdth.gif) Shuttles and Other Community Transportation Resources
![](http://web.mit.edu/workplacecenter/hndbk/images/shunt_40wdth.gif) Introduction
![](http://web.mit.edu/workplacecenter/hndbk/images/shunt_40wdth.gif) Colleges, Universities and Libraries
![](http://web.mit.edu/workplacecenter/hndbk/images/shunt_40wdth.gif) Travel and Other Learning Communities
![](http://web.mit.edu/workplacecenter/hndbk/images/shunt_40wdth.gif) Cultural Institutions and Resources
![](http://web.mit.edu/workplacecenter/hndbk/images/shunt_40wdth.gif) Listing of Lifelong Learning Resources in Massachusetts
![](http://web.mit.edu/workplacecenter/hndbk/images/shunt_tablecntns.gif) Eastern and Southeastern Massachusetts
![](http://web.mit.edu/workplacecenter/hndbk/images/shunt_tablecntns.gif) North Shore
![](http://web.mit.edu/workplacecenter/hndbk/images/shunt_tablecntns.gif) Central Massachusetts
![](http://web.mit.edu/workplacecenter/hndbk/images/shunt_tablecntns.gif) Western Massachusetts
![](http://web.mit.edu/workplacecenter/hndbk/images/shunt_40wdth.gif) Introduction
![](http://web.mit.edu/workplacecenter/hndbk/images/shunt_40wdth.gif) Massachusetts and Community-based Resources
![](http://web.mit.edu/workplacecenter/hndbk/images/shunt_40wdth.gif) Other Local Resources
![](http://web.mit.edu/workplacecenter/hndbk/images/shunt_40wdth.gif) National Resources
![](http://web.mit.edu/workplacecenter/hndbk/images/shunt_40wdth.gif) Park Services
![](http://web.mit.edu/workplacecenter/hndbk/images/shunt_40wdth.gif) Introduction
![](http://web.mit.edu/workplacecenter/hndbk/images/shunt_40wdth.gif) Legislative and Advocacy Organizations in Massachusetts
![](http://web.mit.edu/workplacecenter/hndbk/images/shunt_40wdth.gif) On Beacon Hill
![](http://web.mit.edu/workplacecenter/hndbk/images/shunt_40wdth.gif) National Legislative and Advocacy Organizations
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