PART OF Community Programs

Adult Foster / Family Care Program

Adult Foster Care is a MassHealth funded program that provides in home support to qualified individuals. Eligible individuals must be 16 years of age or older who need assistance with activities of daily living provided by a live-in caregiver. AFC members may stay alone up to three hours a day. Eligibility requires that the member has a medical or cognitive condition requiring assistance. Support may include:

  • Active supervision and/or assistance to ensure the member’s health and
  • Physical assistance with bathing, dressing, toileting, mobility or eating.
  • Medication reminders, scheduling and provision of transportation to appointments.



AFC caregivers are thoroughly pre- screened and qualified as a family member or a nonrelated individual. Caregivers must be at least 18 years of age and determined to be responsible and capable of making precise decisions.

In addition to active supervision and assistance, the caregiver will monitor and report any changes in the member’s health or well-being to the AFC program staff and submit all required documentation. The member and caregiver reside in an environment that meets qualified setting guidelines.

Through the Adult Foster Care Program, qualified caregivers are paid a MassHealth tax-free stipend. The AFC member may pay room and board determined on an individualized basis.

Adult Foster Care Team Services

The AFC staff provides support, training and coaching to AFC members and caregivers. Multi-disciplinary team services include:

  • Biopsychosocial, safety, and other applicable member assessments
  • Emergency Back-up Plan with caregiver input
  • Plan of care to identify all goals and objectives to maximize care
  • Nursing and care management support
  •  Individualized training and support
  • Monthly in home visits by RN and Care Manager
  • Information about community resources and other local programs
  • 24 hour on call system


Plymouth, Norfolk, Bristol and Barnstable Counties.

Worcester County: east and south of City of Worcester (or sections of


Suffolk County: south of Boston (or sections of county)

AFC Members

An individual may qualify for Adult Foster Care if he/she meets the following criteria:

  • Currently has MassHealth (Standard or Common Health), One Care Options (Commonwealth Care Alliance or Network Health/Tufts) or Senior Care Options (SCO)( Fallon or Tufts)
  • Is at least 16 years old
  • Requires assistance to complete Activities of Daily Living (ADLs)
  • Requires supervision at least 21 hours daily
  • Has a medical condition or cognitive impairment that requires hands-on assistance or active supervision and coaching to successfully complete at least one of the following activities: (Bathing, Dressing, Toileting, Transferring, Mobility, or Eating)

AFC is a medical service that must be prescribed by the member’s PCP office.


Adult Foster Care Program:


800-924-7570 #4



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