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Adult Foster Care (AFC)
Group Adult Foster Care (GAFC)

Must be age 22 years of age or older;
Must meet the financial criteria for MassHealth* (Standard of CommonHealth) 
A physician’s summary confirming the appropriateness of GAFC services;
Requires daily assistance with at least one ADL
        (e.g., bathing,dressing,eating, continence care, ambulation or transfer);
Requires clinical approval from the MassHealth designated clinical screening
        agent, Coastline Elderly Services, Inc; and
Must reside in identified community housing for individuals who are elderly or disabled OR live in an assisted living residence.
Financial Eligibility for GAFC
Financial eligibility for GAFC in an assisted living setting is determined by the
Social Security Administration through the Supplemental Security Income Program
– Category G (SSI-G).



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

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