Massachusetts has 284 Medicare-certified home health agencies. The state has one of the highest concentrations of teaching hospitals and integrated health systems in the country, and its home health market reflects that — with a significant share of hospital-affiliated and non-profit agencies that tend to rank among the highest-performing in the nation by CMS star rating.
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Greater Boston (Suffolk, Middlesex, Norfolk, Essex counties) dominates Massachusetts home health, as expected. The state's academic medical center ecosystem — Partners HealthCare (Mass General Brigham), Beth Israel Lahey Health, Boston Medical Center — has produced several nationally recognized home health programs. Western Massachusetts (Springfield, Worcester) has a smaller but established market. Cape Cod and the Islands have limited agency options.
Massachusetts has above-average CMS star ratings compared to the national distribution. Several Boston-area agencies consistently achieve 5-star ratings. This reflects both the quality of the hospital-affiliated agencies and Massachusetts' generally strong healthcare regulatory environment. The state's Certificate of Need program has historically constrained market entry, reducing the number of low-quality agencies that enter the market.
Massachusetts has a Certificate of Need (CON) requirement for home health agencies, administered by the Massachusetts Department of Public Health. This means new agencies cannot begin operations without first obtaining CON approval — a process that evaluates whether there is sufficient need for additional services in the proposed service area. CON states generally have fewer agencies but higher average quality, as the entry barrier limits low-quality entrants.
How many Medicare home health agencies are in Massachusetts?
As of April 2026, Massachusetts has 284 active Medicare-certified home health agencies.
Does Massachusetts require a Certificate of Need for home health?
Yes. Massachusetts has a Certificate of Need (CON) program administered by the Massachusetts Department of Public Health that applies to home health agencies.
Download the full Massachusetts dataset — 284 agencies with star ratings, contact info, ownership type, and certification dates — as CSV or JSON.
Get Full Access →Data sourced from CMS CASPER (dataset 6jpm-sxkc). Updated monthly. Not affiliated with Medicare or CMS. Official source