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Massachusetts Adult Foster Care (Structured Family Caregiving)

Massachusetts's Adult Foster Care (AFC) program pays family caregivers a daily stipend through MassHealth to provide live-in care to MassHealth-eligible members aged 16+ with a medical or mental condition who need physical assistance or cueing and supervision. The caregiver must live with the care recipient. Spouses and legal guardians may NOT serve as caregivers. Daily rates are tiered by level of need.

Pays family caregivers a tax-free daily stipend for providing live-in care to MassHealth-eligible members aged 16+ with a medical or mental condition who need physical assistance or cueing and supervision. The caregiver must live with the care recipient. Spouses and legal guardians may NOT serve as caregivers. Known as Adult Foster Care (AFC). Income and asset eligibility are determined through the member's MassHealth coverage pathway, not a standalone AFC-specific financial test.

Some details for this program are still being verified. Check the official source for the most current information.

Eligibility

  • U.S. citizenship or qualified immigrant status required
  • Care recipient must have a qualifying disability
  • Care recipient age: at least 16
  • Must live with care recipient

Services

Pays family caregivers a tax-free daily stipend for providing live-in care to MassHealth-eligible members aged 16+ with a medical or mental condition who need physical assistance or cueing and supervision. The caregiver must live with the care recipient. Spouses and legal guardians may NOT serve as caregivers. Known as Adult Foster Care (AFC). Income and asset eligibility are determined through the member's MassHealth coverage pathway, not a standalone AFC-specific financial test.

How to apply

Use the official program page for application details: official program page.

  • medicaid (depends_on): Care recipient must be MassHealth (Medicaid) eligible
  • hcbs-waivers (companion): AFC is a MassHealth state-plan service; financial eligibility depends on the member's MassHealth coverage pathway