An agency with no revenue in Massachusetts during the previous fiscal year qualifies for the "Limited Membership Category." This also applies to out-of-state agencies considering operating in Massachusetts but not yet doing so. All Certified Agency Limited Memberships are $2,000 annually. Please note that agencies with a Limited Membership are not granted voting rights.

Dues for Medicare/Medicaid-certified revenue are calculated based on the appropriate tier for your certified ("skilled") care revenue. Include any revenue from Continuous Skilled Nursing (CSN) services as well. See the full tier schedule  here  for details.

If your agency provides non-certified/private care services, dues are calculated based on the appropriate tier for your non-certified revenue. Refer to the tier schedule  here  for the specific tiers and details.

• Hospice Services: For agencies providing hospice care, a flat fee of $1,650 is applied.
• Directory Town Listings:
  • The first 25 towns included in your business profile are free.
  • If you serve more than 25 towns, a charge of $15 per additional town will be added.

• Certified Dues: Based on the Medicare/Medicaid Certified Revenue Tier (from Section 2a).
• Non-Certified Dues: Based on the Non-Certified/Private Care Revenue Tier (from Section 2b).
• Licensed Hospice Dues: If applicable, based on the hospice care services.
• Pro-Rating for New Members:
  • If joining after 10/01: 25% off dues
  • If joining after 01/01: 50% off dues
  • If joining after 04/01: 75% off dues
• No Proration on Additional Town Charge

The total dues will be the sum of all components listed above.

For the complete tier schedule and specific revenue thresholds, please access the full schedule  here .