The Adult Family Care (AFC) program, also known as Adult Foster Care, is a MassHealth-funded program in Massachusetts. It provides financial support and professional guidance to caregivers who offer daily care to individuals aged 16 and older who cannot live alone due to a chronic medical condition, disability, or age. The goal is to allow these individuals to live in a family setting rather than an institution.
Caregivers in the AFC program, who can be family members (excluding spouses or legal guardians) or non-relatives, live with the care recipient and provide 24/7 care. They receive a tax-free stipend and support from a professional team, including a registered nurse and a case manager.
Who Is Eligible for the Adult Family Care Program?
Eligibility applies to both the care recipient (member) and the caregiver.
For the care recipient:
- Must be at least 16 years old.
- Must qualify for MassHealth Standard or CommonHealth.
- Must need daily supervision or assistance with activities of daily living (ADLs) due to a chronic medical condition or disability.
- Must have a doctor's approval for the program.
For the caregiver:
- Must be 18 years or older.
- Must reside with the care recipient.
- Cannot be the care recipient's spouse or legal guardian.
- Must pass background checks and a home visit.
- Must be able to provide the necessary care and complete training.
Benefits of the Adult Family Care Program
The AFC program offers several advantages for both the person receiving care and the caregiver.
For the care recipient:
- Receives personalized care in a home environment.
- Benefits from professional oversight by a nurse and case manager.
- Maintains independence and connection to the community.
- Receives a care plan tailored to their needs.
For the caregiver:
- Receives a tax-free monthly stipend.
- Has access to ongoing professional support and 24/7 emergency assistance.
- May receive paid respite care.
- Receives training to provide necessary care.
Adult Family Care vs. Other Care Options
The AFC program is one of several long-term care options available in Massachusetts. Here's a comparison to help illustrate the differences:
| Feature | Adult Family Care (AFC) | Assisted Living Facility | Nursing Home | Personal Care Attendant (PCA) Program |
|---|---|---|---|---|
| Setting | Home-based, family-like environment | Semi-independent apartment or unit | Institutional setting with medical staff | Home-based, may live alone |
| Level of Care | Assistance with ADLs, supervision | Assistance with ADLs, more independence | 24/7 skilled nursing care | Assistance with ADLs for those managing their own care |
| Funding | MassHealth-funded, caregiver stipend | Primarily private pay | Covers long-term stays after spending down assets for MassHealth | MassHealth-funded, participant pays for care |
| Caregiver | Trained family or non-relative live-in | Facility staff | Facility staff | Participant hires and manages |
| Emotional Environment | Personalized and supportive family setting | Encourages social interaction | Can be isolating for some | Promotes autonomy |
The Application Process
Applying for the AFC program involves contacting a certified AFC provider agency in Massachusetts. The agency will conduct an assessment, including a home visit and review of medical records. The care recipient's physician must approve the need for services. Prospective caregivers undergo screening, including background and reference checks. Once approved, the caregiver completes training, and program services begin. Self-referrals and referrals from various agencies or individuals are accepted.
Conclusion
The Adult Family Care program in Massachusetts offers a valuable option for eligible adults who require daily care but prefer to live in a home setting rather than an institution. By providing financial assistance, professional support, and training, the program empowers caregivers to provide quality care that promotes the well-being and independence of care recipients.
Further Resources
For more information on the Adult Family Care program and providers in Massachusetts, you can visit the Massachusetts Adult Foster Care Association website..
