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.
TYPES OF SERVICES PROVIDED
> Personal Care Assistance >Homemaking >Case Management >Nurse Monitoring >Community based collaboration >Referrals for social integration
Group Adult Foster Care (GAFC)
The Group Adult Foster Care (GAFC) program is a
MassHealth program that provides personal care services
in either a community or assisted living setting to individuals
who are elderly and/or disabled.
GAFC provides assistance with Activities of Daily Living (ADLs),
nursing oversight and care management. Individuals must meet
the criteria and guidelines set forth by MassHealth:
•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).
What is SSI-G?
•Supplemental Security Income (SSI) is a Federal program administered by the Social Security Administration (SSA); •Massachusetts implemented the SSI State Supplemental Living Arrangement (L/A) Category G, Assisted Living, as of 1998 to assist individuals who clinically meet the criteria for GAFC in an effort to assist in the payment of Room and Board in assisted living facilities; •The Commonwealth of Massachusetts, depending and individual’s living arrangement (must live in a certified assisted living that participates in the GAFC program), supplements the Federal SSI payment; •The income guidelines for SSI-G change on an annual, calendar year basis; and •The 2009 income guideline for an individual is $1128.00 per month with assets of $2000. or less and for a member of a couple $846.00 per month with assets of $3000. or less. It is important to note that SSI applies a general $20.00 disregard of income.
•Requires clinical approval for GAFC services from the MassHealth designated clinical screening agent, Coastline Elderly Services, Inc.; •Must file an SSI application with the local SSA Field Staff Office; •Must meet all other SSI requirements; and •Requires a Residence Verification form completed by the assisted living facility
and Coastline Elderly Services, Inc., confirming residency at the assisted living facility.