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Adult Foster Care

Adult Foster Care (AFC)

Adult Foster Care (AFC) is for individuals who cannot safely live alone but do not need full-time nursing care. 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. There are two levels of care: Level I is for people who need daily assistance with one or two ADLs. Level II is 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. Caregivers can be family members or non-family members; however, they cannot be spouses or another relative legally responsible for you. Your Primary Care Physician must also write an order for AFC services. Your caregiver will provide meals and snacks, assistance with personal care, medication reminders and assistance, behavior interventions as needed, shopping, laundry, housekeeping, and transportation to medical appointments and social visits. 

Your caregiver will be carefully screened and trained to ensure that you are getting the services you need. Care Managers or RN's will provide periodic visits to monitor your medical conditions, evaluate the caregiver services, offer support and training, and provide 24-hour coverage for emergencies. 

Our AFC program (through MassHealth) pays your caregiver a monthly stipend for personal care services and also reimburses service providers and program administrators. Your caregiver will receive an annual stipend of around $8,000 for Level I care, or $16,000 for Level II care, tax free. Room and board is not included. If the caregiver chooses to charge for room and board, then 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 who is 18 years or older, able to devote appropriate time to the members’ personal care needs to ensure his/her safety and well-being at all times, and not abuse drugs or alcohol. You must agree to a criminal background check (CORI), a sexual offender background check (SORI), driving record check, and reference check. There will also be a home assessment if you wish to have a member live in your home. 

How do I become an AFC Member (the person receiving services)? 
You may apply for Adult Family Care if you already have a caregiver in mind; for instance, 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. 

For more information about AFC, please contact Jane Riley, Adult Foster Care Director, at 781-335-3023, ext. 2227 or

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