Caring for a loved one is an act of deep compassion and in Massachusetts, it can also be a state-supported, paid opportunity. Through the Adult Foster Care (AFC) program, eligible caregivers can receive up to $1,600/month, tax-free, while helping family members or friends continue living safely in their own homes.
This guide breaks down what the AFC program is, who qualifies, what support it offers, and how A Better Life Homecare can help you or someone you know get started.
What Is Adult Foster Care?
Adult Foster Care (AFC) is a MassHealth-funded program that provides community-based, family-style living for older adults and individuals with disabilities who are unable to live alone due to physical, medical, cognitive, or mental health challenges.
Through the AFC program, qualifying individuals (known as members) live with trained, paid caregivers, who assist them with their Activities of Daily Living (ADLs) such as:
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Bathing
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Dressing
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Toileting
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Eating
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Ambulation (walking/moving around)
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Transfers (getting in and out of bed or chairs)
Every AFC member is supported by a care team, including a Registered Nurse (RN) and a Case Manager, who provide regular oversight, monitor health needs, and support the caregiver.
Who Can Qualify for AFC?
To be eligible for the AFC Program in Massachusetts, the individual needing care (the member) must:
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Be a Massachusetts resident, age 16 or older
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Be eligible for MassHealth Standard or CommonHealth, or willing to private pay
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Be unable to live alone due to a chronic medical, cognitive, or physical condition
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Require daily assistance, supervision, or cueing with at least one ADL
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Be referred by their Primary Care Physician
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Be willing to live with a caregiver in the same home
Who Can Be a Caregiver?
A caregiver in the AFC program can be a family member or friend—but not a spouse or legal guardian. To qualify as an AFC caregiver, you must:
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Be 18 years or older
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Live with the person receiving care (or be willing to)
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Be able to physically assist or supervise the member with at least one ADL
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Pass a CORI (background) check, reference check, and interview
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Be approved through a certified AFC provider, such as A Better Life Homecare
No professional healthcare license is required—just a genuine commitment to care.
Benefits of the AFC Program
The Adult Foster Care program is a cost-effective and compassionate alternative to nursing homes or assisted living facilities. Benefits include:
For the Member:
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Remain in the comfort of a home setting
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Receive 24-hour personalized care
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Regular oversight from nurses and case managers
For the Caregiver:
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Receive up to $1,600/month, tax-free
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Get ongoing training and support
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Continue caring for someone you love with peace of mind and financial relief
Why Choose A Better Life Homecare?
At A Better Life Homecare, we are committed to “Supporting Families at Home.” Our team helps you navigate the entire process. From eligibility screening to enrollment and ongoing support.
When you choose us, you get:
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Step-by-step application assistance
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Help with MassHealth enrollment
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A dedicated care team for you and your loved one
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Personalized caregiver training and home visits
We’ve helped countless families across Massachusetts access this life-changing program. Now, it’s your turn.
How to Get Started
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Contact us for a free consultation
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We’ll assess eligibility and explain your options
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Submit the necessary paperwork and referrals
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Get approved and start receiving monthly payments and clinical support
Frequently Asked Questions (FAQs)
Q: Can I get paid to take care of my parent in Massachusetts?
Yes! If you meet the eligibility requirements, the AFC program pays you to care for a family member—excluding a spouse.
Q: Do I need to be a nurse or trained professional?
No. A Better Life Homecare provides the training, and a nurse and case manager will offer ongoing support.
Q: How much can I get paid?
Caregivers can receive up to $1,600/month, tax-free, depending on the member’s care level.
Q: Is the program only for elderly individuals?
No. The program is open to individuals 16 and older with qualifying medical or cognitive conditions.
