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 and require assistance with activities of daily living. AFC program participants 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, but 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 assistance with bathing, dressing, ambulating 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 assistance with three tasks or physical assistance with two tasks and a behavior that interferes with care giving.
The caregiver receives a daily stipend based on the level of care required. In most cases the stipend is tax free. Caregivers are required to maintain a monthly daily log and submit a timesheet twice a month. Stipend checks are sent on the 15th of the month and on the last day of the month.
To initiate a referral or learn more about the program, call 781-331-7870 x22. Our agency AFC nurse will speak with you to gather intake information and make an appointment to meet with you at your home.
For more information see "Frequently Asked Questions"