Record last updated 2025/10/20 Comment on this info .Update this info

Narrative

Adult Family Care (AFC), also called Adult Foster Care, is a program for Mass Health eligible frail elders and adults with disabilities. It is a program designed for those who cannot live alone safely. They need help with activities of daily living.

AFC program members live with trained paid caregivers who provide daily care. Caregivers may be family members (except legally responsible relatives or spouses), or can be non-family members.

The program is for adults, over age 16 (or over age 18 when living with family caregivers), who need daily help with personal care. They want to live in a family setting rather than a nursing facility or group home setting.

The caregiver provides meals, companionship, daily personal care assistance, and 24-hour supervision. The qualifying Activity of Daily Living (ADL) needs are based on daily help with bathing, dressing, moving within the home, transferring, toileting and eating.

There are two levels of reimbursement and qualifications. For Level 1, the participant must require cueing through the whole task of at least one of the identified ADL areas. For Level 2, the participant must need physical help with three tasks or physical help with two tasks and a behavior that interferes with care giving.

Service Types

• Case Management
• Food - Meals
• Homemaker Services
• Relationship/Friendship Support
• Skills Training
• Socialization Activities

Program Type

• Adult Foster Care

Populations Served

• All Disabilities
• Developmental Disability
• Intellectual Disabilities
• Physical Disabilities

Ages Served

• 14 - 18
• 19 - 22
• 23 – 59
• 60 +

Accessibility Features

• Services at Home

Additional Information

• Fees: MassHealth, Personal Funds