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Understanding Adult Foster Care: A Compassionate Alternative to Institutional Care

What Is Adult Foster Care?

Adult Foster Care is a long-term care program in which an individual lives in a family-style home, supported by a caregiver who provides daily assistance, supervision, and companionship.
Unlike larger care facilities, AFC emphasizes relationship-based care, offering consistent routines and personalized support.

This service is ideal for adults who cannot live independently but do not require the medical intensity of a nursing home.

Who Qualifies for Adult Foster Care?

While eligibility varies by state, in general, individuals may qualify if they:

Need help with Activities of Daily Living (ADLs) such as bathing, dressing, eating, mobility, or toileting.

Have a medical, cognitive, or physical condition that requires daily support.

Are able to live in a home-based setting rather than a skilled nursing facility.

Receive approval from a care coordinator, physician, or state program (e.g., MassHealth).

AFC programs serve a wide range of individuals, including older adults, people with developmental or intellectual disabilities, those with chronic illnesses, and those recovering from life-changing medical events.

Explore how Adult Foster Care (AFC) supports adults who need daily assistance while offering caregivers a paid, tax-free stipend. Learn about eligibility, caregiver requirements, benefits, and how to begin the AFC program.