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·State program

Massachusetts Adult Foster Care (Structured Family Caregiving)

Massachusetts's Adult Foster Care (AFC) program pays family caregivers a daily stipend through MassHealth to provide live-in care to MassHealth-eligible members aged 16+ with a medical or mental condition who need physical assistance or cueing and supervision. The caregiver must live with the care recipient. Spouses and legal guardians may NOT serve as caregivers. Daily rates are tiered by level of need.

What it offers

Pays family caregivers a tax-free daily stipend for providing live-in care to MassHealth-eligible members aged 16+ with a medical or mental condition who need physical assistance or cueing and supervision. The caregiver must live with the care recipient. Spouses and legal guardians may NOT serve as caregivers. Known as Adult Foster Care (AFC). Income and asset eligibility are determined through the member's MassHealth coverage pathway, not a standalone AFC-specific financial test.

Cash StipendServices
GC1 · Social SupportGC2 · Physical HealthGC4 · Financial Resources

Questions that decide eligibility

GiveCare prepares the questions; the program makes the decision. Bring these to the call or the application:

  1. 01

    Does the person receiving care live in Massachusetts?

    Residency is usually the first thing a program checks.

  2. 02

    What are the current income and asset limits, and whose income counts?

  3. 03

    Is the person receiving care in the covered age range (16–null)?

  4. 04

    What counts as a qualifying disability or level of care need, and what documentation shows it?

  5. 05

    Does the VA disability rating meet the program’s minimum (our record lists null%)?

  6. 06

    Which citizenship or immigration statuses does the program accept, and which documents show it?

  7. 07

    Do you need to live with the person receiving care, and how is that verified?

  8. 08

    Do the work hours meet the minimum (our record lists null hours)?

  9. 09

    Is there a caregiver-specific department, coordinator, or support line? Ask for it by name.

    Many agencies have one that isn’t advertised on the website.

  10. 10

    What documents do you need from us to start an application?

  11. 11

    Is there a waitlist right now, and how long is it?

This page is for discovery and preparation, not an eligibility determination. Program rules change — confirm every detail on the official source. More programs in Massachusetts →