Group Adult Foster Care (GAFC) is a Mass Health program that pays for personal care services for eligible seniors and adults with disabilities who live in GAFC-approved housing.
To qualify, residents must be eligible for Mass Health and need help with at least one daily personal care task such as bathing or dressing. GAFC only pays for the cost of personal care services and medication reminders when you live in approved housing, It does not pay housing cost.
What Benefits Will I Receive?
If you qualify for Group Adult Foster Care, you will receive the following benefits:
An individual care plan developed by a
Registered Nurse and Case Manager
Personal Care Services in your home each day
Medication management reminders
24/7 on-call access
Supervision and assistance with ADL's
(Activities of Daily Living)
General assistance with errands, and light cleaning.
The Adult Foster Care (AFC) program is a MassHealth program that provides
personal care services in a family-like setting to elderly or disabled individuals.
AFC provides assistance with Activities of Daily Living (ADLs), nursing oversight
and care management in a setting that provides 24 hour supervision.
These individuals, the foster families, and the Adult Foster Care Program
provider must meet the criteria and guidelines set forth by MassHealth.
The Adult Foster Care (AFC) Program provides supportive family living
to elders and adults (16+) with disabilities who can no longer live alone.
The program is designed for those who would like to live in a family setting
in the community rather than an institution.
Once medically qualified and carefully matched, the participant shares a home with
an approved caregiver who provides assistance with or supervision of daily activities, including personal care, meal preparation and diet compliance, shopping and transportation for appointments. AFC nurses and care managers provide training
and supervision on a regular basis for participants and caregivers.
This program is funded by MassHealth.
•Must be 16 years of age or older. •Requires a physician’s summary confirming the appropriateness of AFC services. •Requires daily assistance with at least one Activity of Daily Living (ADL). •Requires clinical approval from the MassHealth designated clinical screening
agent, Coastline Elderly Services, Inc.
•Must be MassHealth eligible (Standard, CommonHealth, SCO) or able to pay privately •Must have a medical diagnosis and need daily personal care •Must have physician approval for program •May be confused or forgetful but be able to communicate his/her needs •Must not be harmful to self or others •Must be free of drugs and alcohol for one year (if these are an issue) •Must be compliant with plan of care •May need medication reminding
Caregivers can be relatives, friends or non-related people with the exceptions of spouse, parent of a minor child or other legally responsible person such as a guardian. Caregiver applicants are carefully interviewed and screened including reference checks, criminal history and home assessments. Participants are matched to caregivers based on
common interest, care requirements, location and physical accessibility of the home.
Caregivers provide a safe, comfortable environment in all kinds of housing settings.
They provide room and board, meals and assistance with daily personal care,
including any tasks that have been deemed necessary to allow the individual to
live in the host home safely. All tasks may not require “hands on” assistance.
Some participants can perform certain tasks themselves with supervision and cueing.
The participant joins in both family and community activities as health permits.
The placement is monitored regularly by an AFC nurse and case manager to
provide support and education to both the family and the participant.
Caregivers are paid a tax-free daily stipend (up to $18,000 a year) for the personal care services they provide and receive two weeks of alternate care relief with pay.