Caring for Generations
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Adult Family Care

Adult Family Care (AFC) is a MassHealth program that helps individuals ages 16 and older live in the community with related or non-related families by offering financial assistance and support services.

Participants and caregivers are assessed for eligibility according to MassHealth regulations. The JF&CS AFC program is unique because we are able to reimburse at a higher rate than most other AFC agencies. We also offer a range of other services to help ensure access to available public benefits and resources. 

Benefits of Adult Family Care

  • People needing assistance with care maintain as much independence as possible with a stable family life in the community.
  • The caregiver receives a tax-free stipend of up to $10,500 to $20,000 annually from MassHealth though the JF&CS AFC program.
  • The person receiving support also contributes room and board to the caregiver (from his or her government benefits).
  • Caregivers receive comprehensive orientation and ongoing training and support, both in-person and online, to meet the needs of the persons living with them.
  • Registered nurses and case managers offer ongoing education, advocacy, and healthcare oversight through monthly or bi-monthly home visits, phone consultations, and 24/7 on-call emergency support.

Adult Family Care Supplemental Wrap Around Services

  • Assistance applying to the Section 8 Choice Mobile Voucher Program
  • Guidance applying for Department of Developmental Services (DDS) and Massachusetts Rehabilitation Services (MRC)
  • Guidance applying for SNAP food stamps
  • Referral to an outside partner consultant to assist with SSI/SSDI Benefit application
  • Assistance in applying for transportation (the MBTA RIDE)
  • Insight about the process of relinquishing guardianship so the family member can become a paid caregiver
  • Insight about the current and future role of the adult sibling of the AFC client

Eligibility for Persons Needing Care

  • Must have MassHealth Standard or Common Health insurance
  • Must be at least 16 years of age
  • Must have a medical, physical, or developmental disability and need supervision, assistance, or cueing with at least one basic task of everyday life, such as eating, bathing, dressing, toileting, and transferring
  • Must have a written order for AFC service from a primary care physician
  • Must be able to be safely cared for in the home

Requirements for Caregivers

  • Must be at least 18 years of age
  • Can be biologically related to the person needing care (a parent, sibling, aunt, uncle, etc.) but cannot be the legal guardian or spouse of the AFC client 
  • Must be willing to share life and home with the person needing assistance
  • Must accept responsibility for the person’s care and supervision of all health related activities

Eligibility determination begins with a phone interview and entails home visits, doctor’s orders for AFC, and an application, evaluation, and assessment. We can help a family member become an official AFC caregiver or we can introduce and match people with potential caregivers who are not biologically related to the person needing care. 

We recently surveyed participants and caregivers to ensure that the AFC program was providing high-quality services, to check that clients were satisfied with the services that they received, and to seek feedback on further support needs. We are excited to share the results of the 2017 survey and 2018 survey with you! 

For more information, call 781-647-JFCS (5327) or email your questions via our contact us page.

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Waltham, MA 02451

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