How Adult Foster Care (AFC) Pays Individuals for Home Care
Caring for a loved one at home is a labor of love—and in Massachusetts, the Adult Foster Care (AFC) program ensures that compassion is also rewarded. Here’s everything you need to know about getting compensated for home care through this valuable state-funded initiative.
What Is the AFC Program?
The Massachusetts Adult Foster Care (AFC) program—also known as Adult Family Care—is a state-funded, MassHealth-covered program that allows eligible caregivers to provide home-based assistance to loved ones while receiving tax-free financial compensation.
Unlike limited Medicaid waivers, AFC is an entitlement—so if you meet the eligibility requirements, you’re guaranteed access.
Who Qualifies as a Care Recipient?
To be eligible for AFC, the person receiving care must:
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Be 16 years or older
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Reside in Massachusetts
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Be unable to live alone due to chronic medical, cognitive, or physical conditions
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Require help—or supervision—with one or more Activities of Daily Living (ADLs), such as bathing, dressing, eating, mobility, or toileting
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Have MassHealth Standard or CommonHealth coverage (or be willing to private-pay)
Learn more about eligibility on our Adult Foster Care program page.
Who Can Become a Paid AFC Caregiver?
A caregiver must:
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Be 18 years or older and pass background checks (CORI/SORI)
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Live in the same home as the care recipient
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Be a family member (child, sibling, grandchild) or close friend—but not a spouse or legal guardian
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Complete training and orientation, and be approved by a certified AFC provider
At A Better Life Homecare, we provide caregiver support, training, and ongoing guidance so you can succeed in your caregiving role.
How Much Can Caregivers Earn?
Compensation varies depending on the care recipient’s level of need, but typical figures include:
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Up to $1,600 per month, tax-free (equivalent to nearly $19,200 annually)
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Rates are set by MassHealth and increase with higher levels of care needs
This financial support can make a meaningful difference—offsetting lost income and helping families manage the cost of caregiving.
What’s Included in AFC Support?
With A Better Life Homecare’s AFC Program, caregivers and recipients benefit from:
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Personalized daily care for the recipient (bathing, dressing, meal prep, and more)
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Nursing oversight and case management
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Ongoing caregiver training and educational support
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Regular assessments to ensure quality care
We’re here to provide more than just compensation—we offer peace of mind and professional guidance. Learn more about our services and programs.
How to Apply for AFC Compensation
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Ensure the care recipient has MassHealth Standard or CommonHealth.
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Obtain a referral/order from their primary care provider.
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Contact A Better Life Homecare to start your application.
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Once approved, you’ll receive tax-free monthly payments, training, and continuous care support.
Summary Table
| Category | Details |
|---|---|
| Care Recipient Eligibility | 16+, needs help with ADLs, MassHealth coverage |
| Caregiver Requirements | 18+, background check, live-in, not spouse/legal guardian |
| Monthly Compensation | Up to $1,600/month tax-free, depending on care level |
| Additional Support | Nursing oversight, training, care planning, assessments |
| Application Process | Provider referral, agency application, MassHealth approval |
Why AFC Matters
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Provides a cost-effective alternative to nursing homes or assisted living
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Helps loved ones remain safely at home with dignity and comfort
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Offers financial relief for family caregivers, who often sacrifice income to provide care
Take the Next Step
If you’re caring for a loved one at home in Massachusetts, you may qualify for up to $1,600 per month in tax-free compensation through the AFC program.
At A Better Life Homecare, we’ll guide you through the application process, support your training, and stand by you every step of the way.
Contact us today to check your eligibility and start getting compensated for the care you already provide.
