Adult Family Care

Adult Family Care

Adult Family Care (AFC), also called Adult Foster Care, is a program for adults with disabilities and frail elderly adults who cannot live alone safely. Adults receiving AFC live with trained, paid caregivers who provide daily care. The program is for adults who need daily help with personal care but want to live in a family setting. The caregiver provides meals, companionship, personal care assistance and 24-hour supervision. Caregivers may be individuals, couples, or larger families.

Caregivers receive a daily pay rate from MassHealth to provide care to members who otherwise would need institutional care such as a nursing home. Service providers, including a social worker and registered nurse, train the caregiver and provide ongoing support.

Who Can Be a Caregiver?

Caregivers can be family members or non-family members. However, caregivers cannot be spouses, parents of minor children or legally responsible relatives.

Caregivers must be approved by the program (interview, references, CORI check) and provide 24-hour supervision.

Am I Eligible?

To be eligible for Adult Family Care / Adult Foster Care:
•   you must be 16 years of age or older
•   you must be unable to live alone because of a medical, physical, cognitive or mental condition
•   you must need daily assistance with one or more activities of daily living (ADLs)
•   you cannot require full-time skilled nursing care
•   you must be willing to live with your caregiver
•   you must be eligible for MassHealth or able to pay privately
•   your caregiver cannot be your spouse or another relative legally responsible for you
•   you must be approved for AFC by a physician and an Aging Services Access Point (ASAP).

Adult Family Care Offers Two Levels of Care:

Level I and Level II.  The level of care is determined by an assessment administered by a Registered Nurse.

What Are The Benefits To Me?

You can live in your caregiver’s home or your caregiver can move into your home.  You will be treated like a member of the family by your caregiver.  You and your caregiver will receive support from a registered nurse and a case manager on a regular basis.  Your caregiver will:

  • prepare meals and snacks 
  • assist you with personal care 
  • provide medication reminders and assistance 
  • do shopping, laundry and housekeeping 
  • provide transportation to medical appointments and social visits 
  • maintain a clean safe living space

Contact Us:

For additional information, directions to our offices or to make a referral, please contact Adult Family Care:

To download the AFC brochure, click here!

A Program of The Arc of South Norfolk serving Eastern Massachusetts including the Boston Metro Area. Our offices are fully accessible.