Adult Foster Care

What is Adult Foster and Family Care (AFC)?happy-interracial-family-isolated-white-celebrating-laughing-having-fun-hispanic-african-american-father-caucasian-59703329

Adult Family/Foster Care is a Mass Health funded program that provides 24 hour services in a personalized home setting. This program allows individuals who require assistance with activities of daily living to maintain their dignity and pursue typical life routines with individualized assistance from a family or non-family caregiver. Eligible recipients of this program must be at least 16 years of age, receive Mass Health Insurance, either Standard of CommonHealth, and require assistance with completing tasks from a caregiver who lives in the same home. Adult Family/Foster Care (AFC) recipients must require assistance in at least one of the following areas: Mobility in or outside of their home, bathing, dressing, toileting, eating or transferring. A registered nurse and care manager will conduct an assessment to determine eligibility. The program is for individuals who need daily help with personal care/adl’s, but want to live in a family setting rather than in another facility. The caregiver provides meals, companionship, personal care assistance, and 24-hour supervision.

Who can be a Caregiver?


Caregivers can be family members or non-family members. However, caregivers cannot be spouses, or legally responsible adults.


Am I eligible to be an AFC Member?


Adult Foster and Family Care is for individuals who do not need full-time nursing care, but cannot safely live alone . To be eligible, you must need help with one or more activities of daily living (ADLs) such as bathing, dressing, toileting, eating, ambulating, or transferring (such as getting in and out of bed).


Adult Foster and Family Care offers two levels of care: Level I for people who need daily assistance with one or two ADLs; and Level II for people who need a higher level of care.


You must be eligible for MassHealth, either Standard or CommonHealth, and willing to live with your caregiver. Your caregiver cannot be your spouse or another relative legally responsible for you. Your Primary Care Physician must also write an order for AFC services.


What benefits will I get as an AFC Member?

You can live in your caregiver’s home, or your caregiver can move into your home.


Your caregiver will provide meals and snacks, assistance with personal care, medication reminders and assistance, provide behavior interventions as needed, shopping, laundry, housekeeping, and transportation to medical appointments and social visits.


The Adult Family Care agency will carefully screen and train your caregiver, make sure you are getting the services you need, provide periodic visits by Care Managers or RN’s to monitor medical conditions and evaluate the caregiver services, offer support and training and provide 24-hour coverage for emergencies. Your caregiver will receive an annual stipend of around $8000 for level 1 care or $16,000 for level 2 care, tax free.


What are the costs?
The Arc of the South Shore’s AFC program (through MassHealth) pays your caregiver a monthly stipend for personal care services, and also reimburses service providers and program administrators. Room and board is not included. If the caregiver chooses to charge for room and board that decision will be made between the AFC member and the caregiver. The AFC provider (through MassHealth) will also pay for 2 weeks respite for the caregiver per year.


How do I become a Caregiver?
A Caregiver must be a responsible person 18 years or older, must be able to devote appropriate time to the members’ personal care needs to ensure his/her safety and well being at all times, must not abuse drugs or alcohol, and agree to a criminal background check(CORI), a sexual offender background check(SORI), driving check, and reference check. Potential caregivers must also agree to a home assessment if they wish to have a member live in their home. If interested contact Katie Hanley at 781.335.3023 ext. 2227 or


How do I become an AFC Member (the person receiving services)? 
To apply for Adult Family Care, please contact Katie Hanley at 781.335.3023 ext.2227 or email at You may apply for Adult Family Care if you already have a caregiver in mind (for example, a family member or friend), or if you want to be matched with a caregiver. If you are matched with a caregiver you do not already know, you and your caregiver will have a chance to meet each other before approving the match.