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Home Care Hound

Massachusetts Program Guide

MassHealth Adult Foster Care (AFC)

How MassHealth Adult Foster Care (AFC) pays a live-in caregiver, including family members other than a spouse or legal guardian: who qualifies, how it works and who to call.

Run by the MassHealth. Based on official state sources, last checked October 29, 2026.

The Program

What AFC Is

  • MassHealth Adult Foster Care helps people with a medical or mental condition with daily activities, with nursing oversight and care management of the care a qualified caregiver provides.
  • The member and the caregiver live together, in either the member's home or the caregiver's home.
  • A registered nurse and a case manager regularly oversee the care, and caregivers get ongoing training and support.

Eligibility

Who Can Qualify

  • Qualify for MassHealth Standard or CommonHealth, or be enrolled in One Care, Senior Care Options (SCO) or PACE.
  • Be 16 or older.
  • Need physical help, or cueing and supervision, with at least one activity of daily living such as bathing, dressing, eating or mobility.
  • Be able to live safely at home with a caregiver's support. Full rules are in 130 CMR 408.000.

Caregivers

Who Provides the Care

  • The caregiver can be a family member (but not a spouse or legal guardian) or someone outside the family.
  • The caregiver lives with the member and must meet the AFC program's qualifications.

Getting Started

How to Apply

  1. Confirm the person has MassHealth Standard, CommonHealth, One Care, SCO or PACE.
  2. Contact MassHealth Customer Service to learn more about AFC, whether you need care or want to become a caregiver.
  3. Once enrolled, a registered nurse and case manager oversee the care the AFC caregiver provides.

Contacts

Who to Call

Home Care Hound does not run AFC, decide eligibility or employ AFC caregivers. MassHealth and AFC providers make those decisions.

If you would rather have a licensed home care agency send a caregiver, Home Care Hound can look for a verified agency near you.

Sources

Official Sources

Program rules change. Always confirm details with the agencies above before making decisions.