Home Care Services

State Home Care Services

Massachusetts has an Aging Service Access Point (ASAP) Network that administers a home care program run through 27 assigned ASAP agencies throughout the state. Each office covers a group of cities and or towns. Shrewsbury is covered through Elder Services of Worcester Area (ESWA) in Worcester. They can be reached at 508-756-1545.


To be eligible for the State Home Care system via ESWA, you must have a number of physical impairments, as well as a critical unmet need. This would include:
  • Bathing or dressing yourself
  • Grocery shopping
  • Getting transportation to dialysis, radiation, chemotherapy, or other chronic medical appointments
  • Preparing meals


Fees are on a sliding fee scale, with a suggested donation for clients on welfare. ESWA works closely with the Visiting Nurse Associations and other Home Health Agencies to coordinate services. It is strongly recommended that you call ESWA first if you have a critical unmet need to see if you qualify, as your services will be the most comprehensive if done through their agency.

Private Home Health Services

If you are found to be ineligible or know that you are ineligible for ESW, you may purchase services privately through the same agencies that ESW and the Visiting Nurse Associations use. Services can range from homemaking to skilled, in-home nursing. The phone book lists various agencies in the area overall to choose from. Fees are usually based on a sliding fee scale and rates will vary depending on the level of care that is being requested. ESWA can usually provide a list of their vendors upon request.