The AFC program in Massachusetts provides financial support to family caregivers who take care of a loved one at home. It is designed for individuals who need daily assistance with activities of daily living (ADLs) due to a medical or disabling condition.

To qualify, the individual receiving care must:

• Be at least 16 years old.
• Require assistance with at least one or more activities of daily living (ADLs) such as bathing, dressing, eating, or mobility.
• Be eligible for MassHealth (Medicaid).
• Live in a family home with a caregiver (not in a nursing home or assisted living facility).

Yes! Spouses and legal guardians are not eligible, but other family members, such as adult children, siblings, aunts, uncles, or close family friends, can get paid as caregivers through the AFC program.

Caregivers receive a tax-free stipend, which varies depending on the level of care required. Payments can range from $9,000 to over $18,000 per year, depending on the individual’s needs and program tier.

Caregivers must provide daily assistance with ADLs, ensure a safe and supportive home environment, and participate in routine check-ins with a case manager and registered nurse.

No prior medical training is required. However, caregivers will receive training and ongoing support from the AFC provider to ensure they meet program requirements.

Yes, caregivers can work another job as long as they are still able to provide the necessary care and supervision for their loved one.

To apply, you will need to:

1. Verify your loved one’s eligibility for MassHealth.
2. Contact Family Tree Adult Foster Care to begin the assessment process.
3. Complete a home evaluation and medical assessment.
4. Receive approval and start receiving payments once enrolled.

Yes. While both programs support caregivers, AFC provides a stipend for live-in caregivers, whereas PCA services pay caregivers hourly. AFC also includes case management and nursing support.

Yes, if you are currently receiving other MassHealth home care benefits, you may still qualify for AFC. Contact an AFC provider to discuss eligibility and the transition process.

AFC stipends are tax-free and generally do not impact benefits like Social Security or SNAP. However, it’s best to consult with a financial advisor if you have concerns.

Caregivers receive regular visits from a registered nurse and a case manager, who provide guidance, answer questions, and ensure the caregiver has the resources needed to provide quality care.

AFC providers offer respite care services so that caregivers can take time off while ensuring their loved one continues to receive the care they need.

Non-citizens may qualify if they meet MassHealth eligibility requirements. Contact an AFC provider for details.

The approval process typically takes 2-6 weeks, depending on the complexity of the case and how quickly documentation is submitted.